Provider Demographics
NPI:1992809677
Name:TSCHILTZ, NANCY (MS, RD, LDN, CHWC)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:TSCHILTZ
Suffix:
Gender:F
Credentials:MS, RD, LDN, CHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GREY PEBBLE CT
Mailing Address - Street 2:
Mailing Address - City:DARNESTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3235
Mailing Address - Country:US
Mailing Address - Phone:301-400-1111
Mailing Address - Fax:301-400-1620
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:BLDG 17, SUITE 2A
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-400-1111
Practice Address - Fax:301-400-1620
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD02048133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered