Healthcare Provider Details

I. General information

NPI: 1487558979
Provider Name (Legal Business Name): ABNER DULCE FAINA RDN, LDN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 STAR BLVD
MADISON TN
37115-6397
US

IV. Provider business mailing address

826 STAR BLVD
MADISON TN
37115-6397
US

V. Phone/Fax

Practice location:
  • Phone: 615-650-3111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number5838
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: