Emelia Stiverson, MS, RD, LDN
Dietitian, Registered in Annapolis, MD. Individual provider (NPI-1).
NPI number1679102701
StatusActive
Last updated in NPPESJan 3, 2023
Details
- NPI
- 1679102701
- Entity type
- Individual (NPI-1)
- Name
- Emelia Stiverson
- Credential
- MS, RD, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Jan 3, 2023
- Last updated
- Jan 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DX3817 | MD | Yes |
Practice location
1111 August DrAnnapolis, MD 21403-4624
Phone 410-570-1377
Mailing address
1111 August DrAnnapolis, MD 21403-4624
Phone 410-570-1377
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