Healthcare Provider Details

I. General information

NPI: 1346525946
Provider Name (Legal Business Name): AMY MARIE VOELKER RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2011
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2177 ASHEVILLE RD
WAYNESVILLE NC
28786-3139
US

IV. Provider business mailing address

103 EARLY DEITZ RD
SYLVA NC
28779-7379
US

V. Phone/Fax

Practice location:
  • Phone: 828-452-6675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL003827
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: