Provider Demographics
NPI:1427569607
Name:PFLUGFELDER, HOLLY ANN (RD, LDN)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANN
Last Name:PFLUGFELDER
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 1:6635 MCDOUGALD RD
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-9208
Mailing Address - Country:US
Mailing Address - Phone:703-403-8784
Mailing Address - Fax:
Practice Address - Street 1:6635 MCDOUGALD RD
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-9208
Practice Address - Country:US
Practice Address - Phone:703-403-8784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004380133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered