Organization
THE NUTRITION CONNECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PAPASTEPHANOU MS,RD,LDN,CD5 (OWNER AND HEAD PROVIDER OF ABOVE CO)
(410) 321-5050
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE, STE 340, TOWSON, MD 21286-5466
(410) 321-5050
(410) 321-5050
Mailing address
PO BOX 36144, TOWSON, MD 21286-6144
(410) 321-5050
(410) 321-5050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
N00262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16NU
BLUE CROSS BLUE SHIELD MD
MD
Enumeration date
04/11/2006
Last updated
08/22/2020
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