Provider Demographics
NPI:1467411595
Name:BERINGER, RENEE HARRIET (MS, RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:HARRIET
Last Name:BERINGER
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5226
Mailing Address - Country:US
Mailing Address - Phone:910-907-8435
Mailing Address - Fax:
Practice Address - Street 1:BLDG 4-2187 REILLY ROAD
Practice Address - Street 2:NUTRITION CARE DIVISION (MCXC-NCD), WAMC STOP A
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-7301
Practice Address - Country:US
Practice Address - Phone:910-907-8435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL000328133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered