Provider Demographics
NPI:1568208544
Name:ELIZABETH HARRIS NUTRITION AND WELLNESS
Entity type:Organization
Organization Name:ELIZABETH HARRIS NUTRITION AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:410-600-3514
Mailing Address - Street 1:253 HEAMANS WAY
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21409-6303
Mailing Address - Country:US
Mailing Address - Phone:410-903-8822
Mailing Address - Fax:
Practice Address - Street 1:101 ANNAPOLIS ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1309
Practice Address - Country:US
Practice Address - Phone:410-600-3514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty