Healthcare Provider Details

I. General information

NPI: 1710215504
Provider Name (Legal Business Name): DONNA Q MCALISTER MHS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 02/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 MERRIMON AVE
ASHEVILLE NC
28804-2405
US

IV. Provider business mailing address

852 MERRIMON AVE
ASHEVILLE NC
28804-2405
US

V. Phone/Fax

Practice location:
  • Phone: 828-251-6091
  • Fax: 828-251-6911
Mailing address:
  • Phone: 828-251-6091
  • Fax: 828-251-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberL001627
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: