MEDICARE: MS. RENEE HARRIET BERINGER MS, RD, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L000328	NC

General Provider Information

NPI Number	:	1467411595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RENEE HARRIET BERINGER MS, RD, LDN

Provider Business Mailing Address
First Line	:	305 VALLEY RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5226
Country	:	US
Telephone Number	:	910-907-8435
Fax Number	:

Provider Business Practice Location Address
First Line	:	BLDG 4-2187 REILLY ROAD
Second Line	:	NUTRITION CARE DIVISION (MCXC-NCD), WAMC STOP A
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-7301
Country	:	US
Telephone Number	:	910-907-8435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2006
Last Update Date	:	05/05/2011

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