Individual provider · Type 1 NPI
Ethan Waller, RD, LDN
Registered Dietitian · Durham, NC
Practice location
311 S Lasalle St Apt 35A
Durham, NC 27705-3678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 86432056 (NC) |
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 1306728936
Ethan Waller, RD, LDN's National Provider Identifier is 1306728936, issued on Jul 24, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Durham, NC. The record was last updated on Jul 24, 2025.