Provider Demographics
NPI:1942618749
Name:PINNEY DAVENPORT NUTRITION
Entity Type:Organization
Organization Name:PINNEY DAVENPORT NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:CRANSHAW
Authorized Official - Last Name:PINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LD
Authorized Official - Phone:202-997-6373
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 411
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-997-6372
Mailing Address - Fax:202-887-8999
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 411
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-997-6372
Practice Address - Fax:202-887-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDI447261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service