Provider Demographics
NPI:1588481436
Name:PIERCE, CAROLYN CRAMER (MS, CNS)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:CRAMER
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844A SNYDERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-3423
Mailing Address - Country:US
Mailing Address - Phone:410-259-8176
Mailing Address - Fax:
Practice Address - Street 1:19 LIBERTY ST STE 4&5
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-4914
Practice Address - Country:US
Practice Address - Phone:410-259-8176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist