Provider Demographics
NPI:1417374471
Name:HUDOLIN, ERIN (RD, LD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:HUDOLIN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MACLEOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD, LD
Mailing Address - Street 1:111 MICHIGAN AVE NW # 1950
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2916
Mailing Address - Country:US
Mailing Address - Phone:202-476-5179
Mailing Address - Fax:202-476-5650
Practice Address - Street 1:111 MICHIGAN AVE NW # 1950
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2916
Practice Address - Country:US
Practice Address - Phone:202-476-5179
Practice Address - Fax:202-476-5650
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDI100000472133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic