Elizabeth Allred, MPH, RD, CSSD, LDN

Individual provider Active NPI Renal Nutrition Registered Dietitian · Davidson, NC

NPI 1457993149 · NPPES record last updated Oct 14, 2019

Key facts

NPI
1457993149
Entity type
Individual (NPI type 1)
Primary specialty
Renal Nutrition Registered Dietitian 133VN1005X
License
L001850 (NC)
Practice address
315 Kimberly Rd
Davidson, NC 28036-8554
Phone
(704) 787-3909
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L001850NCMDRenal Nutrition Registered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X L001850 NC Yes

Addresses

Primary practice location

315 Kimberly Rd
Davidson, NC 28036-8554

Mailing address

315 Kimberly Rd
Davidson, NC 28036-8554
Phone (704) 787-3909

Other practice location 1

209 Ridge Rd
Davidson, NC 28036-0407
Phone (704) 894-3071

Other providers in Davidson, NC

All providers in Davidson, NC · Renal Nutrition Registered Dietitian in North Carolina

Sources for this page

Verify at the official NPI Registry.