Provider Demographics
NPI:1245632397
Name:HEPLER, MARIA MILAGROS (RD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:MILAGROS
Last Name:HEPLER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:MILAGROS
Other - Last Name:HEPLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:3312 BELLEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1228
Mailing Address - Country:US
Mailing Address - Phone:814-460-0487
Mailing Address - Fax:
Practice Address - Street 1:3312 BELLEVIEW AVE
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1228
Practice Address - Country:US
Practice Address - Phone:814-460-0487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA966663133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered