Healthcare Provider Details

I. General information

NPI: 1962831586
Provider Name (Legal Business Name): MRS. PATRICIA MORGAN VULPIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRISH MORGAN VULPIS R.D.

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 LEGAULT DR
CARY NC
27513-8326
US

IV. Provider business mailing address

402 LEGAULT DR
CARY NC
27513-8326
US

V. Phone/Fax

Practice location:
  • Phone: 919-454-1417
  • Fax: 919-350-2319
Mailing address:
  • Phone: 919-454-1417
  • Fax: 919-350-2319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL000623
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: