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Contact Information

RIZZA M EDRADAN, CSR, RDN, LDN
337 RIVELLA DR
WAKE FOREST, NC27587-3639
 Phone: 415-867-4422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for RIZZA M EDRADAN · (Female)

NPI Number 1164241279
Status Active
Credentials CSR, RDN, LDN
Entity Individual
Enumeration date 10/07/2024
Last updated 10/07/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 86036227
  • FL License # ND1244
  • NC License # 86036227
  • NC License # L005028
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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