Provider Demographics
NPI:1780438564
Name:MAZANEC, CATHERINE GREER (RDN, LDN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:GREER
Last Name:MAZANEC
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:DOWNING
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:46 DAVIS LOVE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8956
Mailing Address - Country:US
Mailing Address - Phone:919-931-7458
Mailing Address - Fax:
Practice Address - Street 1:46 DAVIS LOVE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8956
Practice Address - Country:US
Practice Address - Phone:919-931-7458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001025133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered