Organization · Type 2 NPI

North Carolina State University

Registered Dietitian · Raleigh, NC

NPI number 1104304286 Active

Practice location

4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002

Call (919) 515-7665 Map

Mailing address

North Carolina State University Ofa Campus Box 7201
Raleigh, NC 27695-7201

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1104304286

North Carolina State University's National Provider Identifier is 1104304286, issued on Aug 1, 2018. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Raleigh, NC. The record was last updated on Oct 22, 2026.