Healthcare Provider Details

I. General information

NPI: 1033431861
Provider Name (Legal Business Name): NANCY L SATTERWHITE RD,LDN,MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2010
Last Update Date: 02/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7431 GEORGE HILDEBRAN RD
HICKORY NC
28602-8529
US

IV. Provider business mailing address

7431 GEORGE HILDEBRAN RD
HICKORY NC
28602-8529
US

V. Phone/Fax

Practice location:
  • Phone: 828-324-0654
  • Fax:
Mailing address:
  • Phone: 828-324-0654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL000040
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: