Provider Demographics
NPI:1295450351
Name:TUCCI, ERIN (MS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:TUCCI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 W ARLINGTON BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4168
Mailing Address - Country:US
Mailing Address - Phone:252-814-9246
Mailing Address - Fax:
Practice Address - Street 1:2609 W ARLINGTON BLVD STE 106
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4168
Practice Address - Country:US
Practice Address - Phone:252-814-9246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered