Provider Demographics
NPI:1700687548
Name:ARON, DEANNE CARPENTER (RDN)
Entity type:Individual
Prefix:
First Name:DEANNE
Middle Name:CARPENTER
Last Name:ARON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 FORT HUGAR WAY
Mailing Address - Street 2:
Mailing Address - City:MANTEO
Mailing Address - State:NC
Mailing Address - Zip Code:27954-9479
Mailing Address - Country:US
Mailing Address - Phone:540-219-3984
Mailing Address - Fax:
Practice Address - Street 1:145 FORT HUGAR WAY
Practice Address - Street 2:
Practice Address - City:MANTEO
Practice Address - State:NC
Practice Address - Zip Code:27954-9479
Practice Address - Country:US
Practice Address - Phone:540-219-3984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
803945133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered