Provider Demographics
NPI:1538998976
Name:HOHL, MAURA NANCY (MS, RD)
Entity type:Individual
Prefix:
First Name:MAURA
Middle Name:NANCY
Last Name:HOHL
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2489 1ST AVE APT D135
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25703-1268
Mailing Address - Country:US
Mailing Address - Phone:301-525-1278
Mailing Address - Fax:
Practice Address - Street 1:2489 1ST AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25703-1233
Practice Address - Country:US
Practice Address - Phone:301-525-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD86101652133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty