Provider Demographics
NPI:1801652565
Name:HALTMAN, NATHAN SCOTT (RD)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:SCOTT
Last Name:HALTMAN
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 WEAVER DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1791
Mailing Address - Country:US
Mailing Address - Phone:984-215-2398
Mailing Address - Fax:
Practice Address - Street 1:1101 WEAVER DAIRY RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1791
Practice Address - Country:US
Practice Address - Phone:984-215-2398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL007532133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered