Provider Demographics
NPI:1043557911
Name:BROWN, ZANETA GRASETTA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ZANETA
Middle Name:GRASETTA
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12125 OPEN VIEW LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1635
Mailing Address - Country:US
Mailing Address - Phone:301-346-1836
Mailing Address - Fax:
Practice Address - Street 1:12125 OPEN VIEW LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1635
Practice Address - Country:US
Practice Address - Phone:301-346-1836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education