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Contact Information

AT HOME NUTRITION
78 TUSCARORA LN
CLAYTON, NC27520-7367
 Phone: 919-576-0079
 Fax: 919-516-0917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for AT HOME NUTRITION · (Female)

NPI # 1093152167
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2013
Last updated 07/02/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # L002584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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