Provider Demographics
NPI:1780961565
Name:SLOANE, MARCI PAGE (MS, RD, LD/N, CDE)
Entity type:Individual
Prefix:MS
First Name:MARCI
Middle Name:PAGE
Last Name:SLOANE
Suffix:
Gender:F
Credentials:MS, RD, LD/N, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 CAMINO DEL SOL
Mailing Address - Street 2:406
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5813
Mailing Address - Country:US
Mailing Address - Phone:561-702-4119
Mailing Address - Fax:
Practice Address - Street 1:5900 CAMINO DEL SOL
Practice Address - Street 2:406
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5813
Practice Address - Country:US
Practice Address - Phone:561-702-4119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND3024133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered