Provider Demographics
NPI:1467659037
Name:PYWELL, MARIT (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:MARIT
Middle Name:
Last Name:PYWELL
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3947
Mailing Address - Country:US
Mailing Address - Phone:781-254-7336
Mailing Address - Fax:
Practice Address - Street 1:25 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3894
Practice Address - Country:US
Practice Address - Phone:978-463-1049
Practice Address - Fax:978-463-1198
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2362133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered