Provider Demographics
NPI:1346685872
Name:CLARK, FRANCES RITINSKI (RDN, CSR, LDN)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:RITINSKI
Last Name:CLARK
Suffix:
Gender:F
Credentials:RDN, CSR, LDN
Other - Prefix:
Other - First Name:FRAN
Other - Middle Name:ANN
Other - Last Name:RITINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CSR, LDN
Mailing Address - Street 1:2510 GREEN PINE CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3050
Mailing Address - Country:US
Mailing Address - Phone:570-875-7653
Mailing Address - Fax:
Practice Address - Street 1:2510 GREEN PINE CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-3050
Practice Address - Country:US
Practice Address - Phone:570-875-7653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005879133VN1005X
MDDX3062133V00000X, 133N00000X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education