| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELIZABETH MARLENE HARRIS | 1831742626 | 2024-11-08 |
Elizabeth Marlene Harris is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831742626. Registration indicates Elizabeth Marlene Harris is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Elizabeth Marlene Harris RDN |
| Practice Office Address | 101 ANNAPOLIS ST ANNAPOLIS, MD US |
| Practice Office Telephone | 4106003514 |
| Mailing Address | 253 HEAMANS WAY ANNAPOLIS, MD 214096303 US |
| Business Telephone | 4102808509 |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | DX4718
MD |