Organization
ERYN DAVIS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERYN CARTER RDN, LD (OWNER)
(785) 250-1390
Entity
Organization
Contact information
Practice address
2611 SW 17TH ST, TOPEKA, KS 66604-2603
(785) 250-1390
Mailing address
2408 SW INDIAN TRL, TOPEKA, KS 66614-1350
(785) 250-1390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2405
STATE LICENSE NUMBER
KS
01
—
86117848
NATIONAL LICENSE NUMBER
—
Enumeration date
11/22/2019
Last updated
11/22/2019
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