IndividualActive
Elana Bodner
NPI 1245815695 · Nutritionist · Reisterstown, MD
Provider details
- NPI number
- 1245815695
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DX5186 (MD)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
233 Chartley Dr
Reisterstown, MD 21136-2325
Phone: (212) 979-9878
Approximate (ZIP-level) locationGet directions
Mailing address
233 Chartley Dr
Reisterstown, MD 21136-2325
Registry dates
- Enumerated
- 2021-03-16
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.