Provider Demographics
NPI:1396179248
Name:MCARTOR, DIANE ROSE (RD CDE LDN)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:ROSE
Last Name:MCARTOR
Suffix:
Gender:F
Credentials:RD CDE LDN
Other - Prefix:DR
Other - First Name:DIANE
Other - Middle Name:ROSE
Other - Last Name:ERNSTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD CDE
Mailing Address - Street 1:1445 WOODMILL DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-7749
Mailing Address - Country:US
Mailing Address - Phone:302-730-8338
Mailing Address - Fax:302-744-6849
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-744-6828
Practice Address - Fax:302-744-6849
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000180133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered