Provider Demographics
NPI:1760008098
Name:TOBIN, JULIANNE (RD)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:
Last Name:TOBIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 HOUSECREEK TRL APT 105
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-3488
Mailing Address - Country:US
Mailing Address - Phone:910-515-4689
Mailing Address - Fax:
Practice Address - Street 1:160 MACGREGOR PINES DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6036
Practice Address - Country:US
Practice Address - Phone:919-234-4468
Practice Address - Fax:919-234-4478
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered