Provider Demographics
NPI:1477918720
Name:ROTHSCHILD, ELIZABETH NANCY (MS, RD, CDN)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:NANCY
Last Name:ROTHSCHILD
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3274 TILTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-5924
Mailing Address - Country:US
Mailing Address - Phone:908-718-7638
Mailing Address - Fax:855-631-3697
Practice Address - Street 1:3274 TILTON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-5924
Practice Address - Country:US
Practice Address - Phone:908-718-7638
Practice Address - Fax:855-631-3697
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN009040133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered