Individual
AMBER E BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/RDN, LDN
Contact information
Practice address
1660 BROOK RUN DR, RALEIGH, NC 27614-9732
(919) 500-3231
Mailing address
1660 BROOK RUN DR, RALEIGH, NC 27614-9732
(919) 500-3231
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LN004521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86039138
COMMISSION ON DIETETIC REGISTRATION
—
01
—
L004521
NORTH CAROLINA BOARD OF DIETETICS/NUTRITION
NC
Enumeration date
02/20/2021
Last updated
02/20/2021
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