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Organization
ELAN FITNESS AND NUTRITION
Active
Organization
ELAN FITNESS AND NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEA BOATSWAIN RDN (OWNER)
(202) 600-9826
Entity
Organization
Contact information
Practice address
1751 PINNACLE DR STE 600, MC LEAN, VA 22102-4007
(202) 600-9826
Mailing address
1751 PINNACLE DRIVE, SUITE 600, MCLEAN, VA 22102
(202) 600-9826
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
02/27/2020
Last updated
10/14/2022
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