Provider Demographics
NPI:1235997172
Name:TORCHIA, SAMANTHA (RD LDN)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:TORCHIA
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 STONEBOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-7242
Mailing Address - Country:US
Mailing Address - Phone:845-235-2201
Mailing Address - Fax:
Practice Address - Street 1:2317 STONEBOROUGH CT
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-7242
Practice Address - Country:US
Practice Address - Phone:845-235-2201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003414133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty