Individual
MS. SHERI DEFREES ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, RDN, LDN
Contact information
Practice address
4200 LAKE BOONE TRL, RALEIGH, NC 27607-6521
(919) 784-1371
(919) 784-1397
Mailing address
211 FRIDAY CENTER DR, SUITE 2091, ROOM 2094 HEDRICK BUILDING, CHAPEL HILL, NC 27517-9499
(984) 974-1191
(984) 974-1311
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
L003540
NC
133V00000X
Registered Dietitian
Primary
L003540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q50654A
MEDICARE PTAN
NC
01
—
Q50654E853
MEDICARE PTAN
NC
Enumeration date
06/07/2011
Last updated
09/14/2015
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