Provider Demographics
NPI:1285965483
Name:CONTEMPORARY NUTRITION
Entity type:Organization
Organization Name:CONTEMPORARY NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:302-222-1403
Mailing Address - Street 1:379 WALMART DR
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934-1365
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:302-697-1854
Practice Address - Street 1:379 WALMART DR
Practice Address - Street 2:SUITE ONE
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1365
Practice Address - Country:US
Practice Address - Phone:302-222-1403
Practice Address - Fax:302-697-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN-0000361133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty