Whalio Doctors

NPI 1629154273

Marie Latendresse Ward, MSRDCDE

Practitioner Registered Dietitian Elizabeth City, NC

Practice location

Address
711 Roanoke Ave, Elizabeth City, NC 27909-5643
Phone
(252) 338-4370
Fax
(252) 337-7911
Mailing address
801 W Colonial Ave, Elizabeth City, NC 27909-4221

Registered specialties (3)

Registered Dietitian Primary
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence L002954 (NC)
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1554 (TN)
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 00515071 (TN)

Registry record

NPI
1629154273
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Oct 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.