MEDICARE: ELIZABETH HURLEY RAYNOR 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	L005194	NC

General Provider Information

NPI Number	:	1861912610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HURLEY RAYNOR MS, RD, LDN

Provider Business Mailing Address
First Line	:	1441 E BROAD ST STE 256
Second Line	:
City	:	FUQUAY VARINA
State	:	NC
Zip	:	27526-1968
Country	:	US
Telephone Number	:	919-675-8503
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 E BROAD ST STE 256
Second Line	:
City	:	FUQUAY VARINA
State	:	NC
Zip	:	27526-1968
Country	:	US
Telephone Number	:	919-675-8503
Fax Number	:

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

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	03/16/2022

Similar Medicare Providers

1396613279 — AUBREE STRICKLAND
Practice Location Address:

1441 E BROAD ST # 90
FUQUAY VARINA, NC
27526-1968

Practice Phone: 855-832-6727
Practice Fax: 772-675-9100

1568821775 — JESSICA NICHOLE GOMEZ
Practice Location Address:

1441 EAST BROAD STREET , #90
FUQUAY VARINA, NC
27526-1968

Practice Phone: 305-322-3494
Practice Fax: 772-675-9100

1710324447 — MY MEDICAL SUPPLIES, INC
Practice Location Address:

1421 E BROAD STREET , SUITE 241
FUQUAY VARINA, NC
27526-1968

Practice Phone: 919-762-5088
Practice Fax:

1861815797 — ALTO MEDICAL SUPPLY, INC
Practice Location Address:

1421 E BROAD ST , SUITE 241
FUQUAY VARINA, NC
27526-1968

Practice Phone: 919-762-5088
Practice Fax:

1851770176 — AMANDA BOLING
Practice Location Address:

1441 E BROAD ST # 90
FUQUAY VARINA, NC
27526-1968

Practice Phone: 855-832-6727
Practice Fax:

1033644042 — DANYELL LOUISE LINDBO BCBA
Practice Location Address:

1441 EAST BROAD STREET , #90
FUQUAY VARINA, NC
27526-1968

Practice Phone: 855-832-6727
Practice Fax:

Directions to “ ELIZABETH HURLEY RAYNOR MS, RD, LDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.