Provider Demographics
NPI:1366113342
Name:HIRST, DANIEL ALAN (RD, LDN)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALAN
Last Name:HIRST
Suffix:
Gender:M
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 S GOVERNORS AVE # 3090
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3523
Mailing Address - Country:US
Mailing Address - Phone:302-744-6828
Mailing Address - Fax:302-744-6849
Practice Address - Street 1:560 S GOVERNORS AVE # 3090
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3523
Practice Address - Country:US
Practice Address - Phone:302-744-6828
Practice Address - Fax:302-744-6849
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DN-0010872133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered