NPI 1235231218

Shana Vaughan Bare, RDLDNCDE

Practitioner Registered Dietitian Wake Forest, NC

Practice location

Address: 12720 Garffe Sherron Rd, Wake Forest, NC 27587-8906
Phone: (919) 556-3189

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence L001257 (NC)

Other Dietitian, Registered providers in North Carolina →

Registry record

NPI: 1235231218
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.