Provider Demographics
NPI:1477331809
Name:GIRTEN, MARGARET M (RD, LDN, FAND)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:GIRTEN
Suffix:
Gender:F
Credentials:RD, LDN, FAND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8261
Mailing Address - Country:US
Mailing Address - Phone:717-875-5878
Mailing Address - Fax:
Practice Address - Street 1:715 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8261
Practice Address - Country:US
Practice Address - Phone:717-875-5878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002109133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty