Individual provider · Type 1 NPI

Ellyn Leigh Baltz, R.D., L.D./N.

Registered Dietitian · Gulfport, FL

NPI number 1104873934 Active

Practice location

2601 54th St S
Gulfport, FL 33707-5511

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XND4122 (FL)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1104873934

Ellyn Leigh Baltz, R.D., L.D./N.'s National Provider Identifier is 1104873934, issued on May 27, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Gulfport, FL. The record was last updated on Jul 13, 2026.