Provider Demographics
NPI:1376137133
Name:HEATH, ERIN REBEKAH HANCOCK (MPH, RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:REBEKAH HANCOCK
Last Name:HEATH
Suffix:
Gender:F
Credentials:MPH, RD, LDN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:REBEKAH
Other - Last Name:HANCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPH
Mailing Address - Street 1:1612 ASHEVILLE HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3466
Mailing Address - Country:US
Mailing Address - Phone:828-333-0096
Mailing Address - Fax:828-505-8772
Practice Address - Street 1:1612 ASHEVILLE HWY STE 1
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3466
Practice Address - Country:US
Practice Address - Phone:828-333-0096
Practice Address - Fax:828-505-8772
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered