Provider Demographics
NPI:1376738534
Name:TERPENNY, DAWN WATLINGTON (RD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:WATLINGTON
Last Name:TERPENNY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6004
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBRG
Mailing Address - State:VA
Mailing Address - Zip Code:24068-6004
Mailing Address - Country:US
Mailing Address - Phone:540-731-2577
Mailing Address - Fax:
Practice Address - Street 1:2900 TYLER RD
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-5041
Practice Address - Country:US
Practice Address - Phone:540-731-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered