Michael Shane Love, C-EP
Individual provider Active NPI Nutrition Education Nutritionist · Lavale, MD
NPI 1124664958 · NPPES record last updated Nov 27, 2019
Key facts
- NPI
- 1124664958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Education Nutritionist 133NN1002X
- License
- 1024667
- Practice address
- 957 National Hwy
Lavale, MD 21502-7356 - Phone
- (301) 729-9475
- NPI assigned
- Nov 27, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1024667 | Yes |
Addresses
Primary practice location
957 National Hwy
Lavale, MD 21502-7356
Mailing address
957 National Hwy
Lavale MD 21502
Lavale, MD 21502
Phone (307) 729-9475
Other providers in Lavale, MD
- Amber Lynne Lease-Gordon
- Christina Lynn Lemley
- Carol Ann Levine
- Randy Allen Lewis
- Gary W Long Jr.
- Luke W Tompkins DDS LLC
- Jeremy Michael Lynch
- Lynne S Brodell DDS
- Nicol Lynn Lyon
- Mark Stephan Mallonee Jr.
All providers in Lavale, MD · Nutrition Education Nutritionist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.