Provider Demographics
NPI:1003233610
Name:MAUST, CLAIRE (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:MAUST
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 LOOKOUT DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3330
Mailing Address - Country:US
Mailing Address - Phone:404-510-9860
Mailing Address - Fax:
Practice Address - Street 1:36 LOOKOUT DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3330
Practice Address - Country:US
Practice Address - Phone:404-510-9860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004264133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered