Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ANGELA BOADU, R.D., L.D.N./L.D.
ActivePediatric Nutrition · LAUREL, MD
Registration Details
- NPI Number
- 1639419278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2013 (13.170003175044 yrs)
- Last Updated
- Feb 19, 2013
- Licenses
-
DX3295 (MD)DI100000547 (DC)
Practice Information
- Address
-
13922 BALTIMORE AVESUITE 4ALAUREL, MD, 207075009Browse MD providers · Browse ZIP 20707
- Phone
- 2024766354
- Fax
- 2405687010
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.