Provider Demographics
NPI:1073008116
Name:MARQUARDT, NATALIE (RD, LD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:MARQUARDT
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:ROHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5640 HUDSON INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-5011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5640 HUDSON INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-5011
Practice Address - Country:US
Practice Address - Phone:330-400-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7393133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered