Provider Demographics
NPI:1568043917
Name:FELBER, DANIELLE MAYA (RD)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MAYA
Last Name:FELBER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14016 FOREST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4822
Mailing Address - Country:US
Mailing Address - Phone:301-254-9062
Mailing Address - Fax:
Practice Address - Street 1:14016 FOREST RIDGE DR
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-4822
Practice Address - Country:US
Practice Address - Phone:301-254-9062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86026059133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered