Provider Demographics
NPI:1336900703
Name:LITTERAL, ELLEN (MS)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:LITTERAL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:RHOME
Mailing Address - State:TX
Mailing Address - Zip Code:76078-4261
Mailing Address - Country:US
Mailing Address - Phone:469-371-2219
Mailing Address - Fax:
Practice Address - Street 1:800 PARKER SQ STE 200
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7434
Practice Address - Country:US
Practice Address - Phone:469-371-2219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education