Provider Demographics
NPI:1487042925
Name:ESPENIDA, HELEN CHAVEZ (MS, RD, LDN, CDE)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:CHAVEZ
Last Name:ESPENIDA
Suffix:
Gender:F
Credentials:MS, RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 HOSPITAL DRIVE, THE DIABETES CENTER
Mailing Address - Street 2:PRINCE GEORGE'S HOSPITAL CENTER
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785
Mailing Address - Country:US
Mailing Address - Phone:301-618-6555
Mailing Address - Fax:301-618-6554
Practice Address - Street 1:3001 HOSPITAL DRIVE, THE DIABETES CENTER
Practice Address - Street 2:PRINCE GEORGE'S HOSPITAL CENTER
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785
Practice Address - Country:US
Practice Address - Phone:301-618-6555
Practice Address - Fax:301-618-6554
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD708182133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered