Provider Demographics
NPI:1578313789
Name:ERWIN, HEIDI LOUISE TROLLMAN (RD, LDN)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:LOUISE TROLLMAN
Last Name:ERWIN
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 1:7932 MIDNIGHT LN
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-6759
Mailing Address - Country:US
Mailing Address - Phone:919-757-3887
Mailing Address - Fax:
Practice Address - Street 1:7932 MIDNIGHT LN
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6759
Practice Address - Country:US
Practice Address - Phone:919-757-3887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNDP-2024-0021133V00000X
KS3049133V00000X
LA3753133V00000X
SC2851133V00000X
NE1726133V00000X
NCL005910133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered