Provider Demographics
NPI:1417278524
Name:MUNFORD, DANIELE (RD, LDN)
Entity Type:Individual
Prefix:
First Name:DANIELE
Middle Name:
Last Name:MUNFORD
Suffix:
Gender:M
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 GREENS BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1185
Mailing Address - Country:US
Mailing Address - Phone:302-279-6282
Mailing Address - Fax:
Practice Address - Street 1:102 SLEEPY HOLLOW DR STE 200
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5841
Practice Address - Country:US
Practice Address - Phone:302-898-7806
Practice Address - Fax:302-378-9128
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-14
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN-0000255133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist