Provider Demographics
NPI:1497423420
Name:GWYN, CINDEL NOEL (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:CINDEL
Middle Name:NOEL
Last Name:GWYN
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 1:4022 STIRRUP CREEK DR STE 315
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8999
Mailing Address - Country:US
Mailing Address - Phone:919-425-3000
Mailing Address - Fax:
Practice Address - Street 1:220 ROSEBROOKS DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3609
Practice Address - Country:US
Practice Address - Phone:843-267-6549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-03
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005522133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered