Provider Demographics
NPI:1790990695
Name:ANDREWS, RYAN DEXTER (MS, MA, RD, LDN)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:DEXTER
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MS, MA, RD, LDN
Other - Prefix:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 W JOPPA RD
Mailing Address - Street 2:#300 - JOHNS HOPKINS WEIGHT MANAGEMENT CENTER
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4624
Mailing Address - Country:US
Mailing Address - Phone:410-583-2885
Mailing Address - Fax:410-583-2859
Practice Address - Street 1:2360 W JOPPA RD
Practice Address - Street 2:#300 - JOHNS HOPKINS WEIGHT MANAGEMENT CENTER
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4624
Practice Address - Country:US
Practice Address - Phone:410-583-2885
Practice Address - Fax:410-583-2859
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX2628133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered