Provider Demographics
NPI:1306212634
Name:FROST-MALEK, HEATHER MARIE (MS, RDN, LDN, CDCES)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:FROST-MALEK
Suffix:
Gender:F
Credentials:MS, RDN, LDN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 PRITCHARD RD
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9682
Mailing Address - Country:US
Mailing Address - Phone:828-209-8833
Mailing Address - Fax:828-623-9252
Practice Address - Street 1:317 PRITCHARD RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9682
Practice Address - Country:US
Practice Address - Phone:828-209-8833
Practice Address - Fax:828-623-9252
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003655133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered