The Nicu Dietitian LLC
NPI #1356162895 in Signal Mountain, Tennessee
Provider Information
- NPI Number
- 1356162895
- Entity Type
- Organization
- Organization Name
- The Nicu Dietitian LLC
- Primary Specialty
- Dietitian, Registered - Nutrition, Pediatric
- Enumeration Date
- Oct 17, 2024
- Last Updated
- Oct 22, 2024
Practice Location
- Address
- 396 TIMBERLINKS DR
- City
- Signal Mountain
- State
- Tennessee
- ZIP Code
- 37377-1945
- Phone
- (334) 740-4500
Authorized Official
- Name
- ANDREA KATHERINE CARPENTER, MS, RD, CSP, LD, CBS
- Title
- OWNER
- Phone
- (334) 740-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric |
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