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Contact Information

THRIVE NUTRITION
16567 SIOUX LN
GAITHERSBURG, MD20878-2048
 Phone: 240-780-8135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for THRIVE NUTRITION · (Female)

NPI # 1104395953
Status Active
Credentials
Entity Individual
Enumeration date 11/21/2018
Last updated 03/09/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • Other 12585463 CAQH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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