Provider Demographics
NPI:1497103873
Name:DECKER, ERIN (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:DECKER
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 OLIVE CHAPEL RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-8586
Mailing Address - Country:US
Mailing Address - Phone:919-267-5862
Mailing Address - Fax:919-267-5866
Practice Address - Street 1:1801 OLIVE CHAPEL RD
Practice Address - Street 2:SUITE 107
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-8586
Practice Address - Country:US
Practice Address - Phone:919-267-5862
Practice Address - Fax:919-267-5866
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY48 008170133V00000X
NCL004875133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered