Provider Demographics
NPI:1457752206
Name:VENOY, HEATHER DAWN (RD, LD, CDE)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DAWN
Last Name:VENOY
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 GATEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4822
Mailing Address - Country:US
Mailing Address - Phone:336-878-6902
Mailing Address - Fax:336-878-6015
Practice Address - Street 1:300 GATEWOOD AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4822
Practice Address - Country:US
Practice Address - Phone:336-878-6902
Practice Address - Fax:336-878-6015
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV444133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered