IndividualActive
Nancy Cooper
NPI 1205255122 · Renal Nutrition Registered Dietitian · Glen Burnie, MD
Provider details
- NPI number
- 1205255122
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- D00411 (MD)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
808 Landmark Dr
Suite 122
Glen Burnie, MD 21061-4983
Phone: (410) 760-3588
Fax: (410) 760-3604
Approximate (ZIP-level) locationGet directions
Mailing address
1589 Sulphur Spring Rd
Baltimore, MD 21227-2542
Registry dates
- Enumerated
- 2014-04-08
- Last updated
- 2014-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.