Provider Demographics
NPI:1770824278
Name:MEADOR, NATALIE MARIE (MPH, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:MEADOR
Suffix:
Gender:F
Credentials:MPH, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 ASHLEY GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9200
Mailing Address - Country:US
Mailing Address - Phone:919-225-0438
Mailing Address - Fax:
Practice Address - Street 1:302 PEBBLE CREEK DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5470
Practice Address - Country:US
Practice Address - Phone:919-473-6454
Practice Address - Fax:919-342-5149
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002414133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered