Doctor Name: | BARBARA WISHART DERR |
NPI Number: | 1285617811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | DX2456 |
Business Practice Address: | 9733 Healthway Dr Berlin, MD - 218111155 |
Business Phone Number: | 4106419773 |
Business Fax Number: | |
Mailing Address: | 140 Elizabeth Way, BETHANY BEACH |
State: | DE |
Postal Code: | 199309167 |
Phone Number: | 3025371309 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DX2456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |