Provider Demographics
NPI:1942467907
Name:WOLF-BARNETT, ERIN DAVIS (MS RD LD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:DAVIS
Last Name:WOLF-BARNETT
Suffix:
Gender:F
Credentials:MS RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 24TH ST S # 1
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2524
Mailing Address - Country:US
Mailing Address - Phone:410-913-7078
Mailing Address - Fax:
Practice Address - Street 1:110 N WASHINGTON ST STE 407
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2255
Practice Address - Country:US
Practice Address - Phone:410-913-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD02439133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric