Provider Demographics
NPI:1043474109
Name:BOYER, A. BRYN (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:A. BRYN
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:BRYN
Other - Last Name:BOYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:539 KEISLER DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9320
Mailing Address - Country:US
Mailing Address - Phone:919-937-2031
Mailing Address - Fax:984-480-2913
Practice Address - Street 1:539 KEISLER DR STE 101
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-9320
Practice Address - Country:US
Practice Address - Phone:919-937-2031
Practice Address - Fax:984-480-2913
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004587133V00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered