Basic Information
| Provider Information | |||||||||
| NPI: | 1013554468 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HATFIELD | ||||||||
| FirstName: | ZANYU | ||||||||
| MiddleName: | CHEN | ||||||||
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| Credential: | MS, RD, LD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8110 FALCON CREST DR | ||||||||
| Address2: | |||||||||
| City: | GLEN BURNIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210616755 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3138209186 | ||||||||
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| Practice Location | |||||||||
| Address1: | 354 MOUNTAIN RD STE G | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211221158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102557200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2019 | ||||||||
| LastUpdateDate: | 12/04/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | DX4809 | MD | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.