Provider Demographics
NPI:1609492263
Name:EL-CHEBLI, NINA (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:NINA
Middle Name:
Last Name:EL-CHEBLI
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 1:3434 KILDAIRE FARM ROAD
Mailing Address - Street 2:SUITE 135 PMB 512
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:919-535-6549
Mailing Address - Fax:919-362-1450
Practice Address - Street 1:1424 COMMONS FORD PLACE
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539
Practice Address - Country:US
Practice Address - Phone:919-535-6549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.008048133V00000X
MDDX3933133V00000X
NCL006373133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered