Provider Demographics
NPI:1174646418
Name:COURDUFF, NANCY (MS,RD,LDN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:COURDUFF
Suffix:
Gender:F
Credentials:MS,RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 SEAWORD RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2916
Mailing Address - Country:US
Mailing Address - Phone:410-583-4680
Mailing Address - Fax:
Practice Address - Street 1:806 SEAWORD RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2916
Practice Address - Country:US
Practice Address - Phone:410-583-4680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO1231133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered