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NPI Code Detail

MEDICARE: ERIN FALLS MS, RD, LDN

MEDICARE:   ERIN  FALLS  MS, RD, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian
2133VN1201XObesity and Weight Management Nutrition Registered DietitianL005030NC
3133V00000XRegistered Dietitian1089704NC

General Provider Information

NPI Number : 1932817509
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN FALLS MS, RD, LDN
Provider Business Mailing Address
First Line : 1053 E WHITAKER MILL RD STE 115
Second Line :
City : RALEIGH
State : NC
Zip : 27604-5305
Country : US
Telephone Number : 336-403-3909
Fax Number :
Provider Business Practice Location Address
First Line : 1053 E WHITAKER MILL RD STE 115
Second Line :
City : RALEIGH
State : NC
Zip : 27604-5305
Country : US
Telephone Number : 336-403-3909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2022
Last Update Date : 06/06/2025

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