Individual
ANDREA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1603 HILLSBOROUGH ST, RALEIGH, NC 27605
(919) 604-6690
Mailing address
319 FAYETTEVILLE ST UNIT 415, RALEIGH, NC 27601-1976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006081
NC
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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