Provider Demographics
NPI:1568109288
Name:ARMBRESTER, VALENCIA RAYETTE (MS, RDN, LDN)
Entity Type:Individual
Prefix:MRS
First Name:VALENCIA
Middle Name:RAYETTE
Last Name:ARMBRESTER
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:MISS
Other - First Name:VALENCIA
Other - Middle Name:RAYETTE
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN, LDN
Mailing Address - Street 1:3135 HARMONY HALL WAY APT 201
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5299
Mailing Address - Country:US
Mailing Address - Phone:919-440-2961
Mailing Address - Fax:
Practice Address - Street 1:3135 HARMONY HALL WAY APT 201
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5299
Practice Address - Country:US
Practice Address - Phone:919-440-2961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-14
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86176408133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered