Provider Demographics
NPI:1730378118
Name:POOLE, EMILY CARTWRIGHT (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CARTWRIGHT
Last Name:POOLE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13011 CLARKSBURG SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4399
Mailing Address - Country:US
Mailing Address - Phone:301-922-0061
Mailing Address - Fax:
Practice Address - Street 1:13011 CLARKSBURG SQUARE RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-4399
Practice Address - Country:US
Practice Address - Phone:301-922-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD02375133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered