Provider Demographics
NPI:1013583285
Name:BARRINGER, NEILS
Entity Type:Individual
Prefix:
First Name:NEILS
Middle Name:
Last Name:BARRINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 LASSITER MILL RD UNIT 63
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5795
Mailing Address - Country:US
Mailing Address - Phone:919-491-6702
Mailing Address - Fax:
Practice Address - Street 1:4209 LASSITER MILL RD UNIT 63
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5795
Practice Address - Country:US
Practice Address - Phone:919-491-6702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005978133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered