Provider Demographics
NPI:1023760774
Name:MOWERY, CARA ANN (MS, RDN, LDN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:ANN
Last Name:MOWERY
Suffix:
Gender:F
Credentials:MS, RDN, LDN, IBCLC
Other - Prefix:MISS
Other - First Name:CARA
Other - Middle Name:ANN
Other - Last Name:MEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1548 CAIRO WAY
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-5365
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:612 N BROAD ST E
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-8954
Practice Address - Country:US
Practice Address - Phone:919-275-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-302587174N00000X
NC86079327133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174N00000XOther Service ProvidersLactation Consultant, Non-RN