Maryanne Elizabeth Henderson, R.D., LD/N
Dietitian, Registered, Nutrition, Renal in Hollywood, FL. Individual provider (NPI-1).
NPI number1245239151
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1245239151
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Maryanne Elizabeth Henderson
- Credential
- R.D., LD/N
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1005X | Dietitian, Registered, Nutrition, Renal | ND3567 | FL | Yes |
Practice location
1520 Fletcher StHollywood, FL 33020-6511
Phone 954-401-2946
Mailing address
1520 Fletcher StHollywood, FL 33020-6511
Phone 954-923-6500
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