Provider Demographics
NPI:1205413705
Name:SVENNEVIK, EMILY (MPH, RDN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SVENNEVIK
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 PUMPKIN RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-9520
Mailing Address - Country:US
Mailing Address - Phone:615-776-3919
Mailing Address - Fax:
Practice Address - Street 1:1500 PUMPKIN RIDGE CT
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9520
Practice Address - Country:US
Practice Address - Phone:615-776-3919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered