Provider Demographics
NPI:1821611831
Name:EPLING, DANIELLE (RDN, LDN, RYT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:EPLING
Suffix:
Gender:F
Credentials:RDN, LDN, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 GLADDEN CIR
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-3563
Mailing Address - Country:US
Mailing Address - Phone:434-509-7807
Mailing Address - Fax:
Practice Address - Street 1:2484 RIVERMONT AVE STE 203
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-1560
Practice Address - Country:US
Practice Address - Phone:434-509-7807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-26
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL006053133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered