Individual
TASHA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, LNHA, CALA
Contact information
Practice address
2049 BROWNWOOD RD, DEEP GAP, NC 28618-9777
(336) 793-0532
Mailing address
PO BOX 893, WALKERTOWN, NC 27051-0893
(336) 817-2262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
816668
NC
376G00000X
Nursing Home Administrator
2068
NC
Other
Enumeration date
08/03/2022
Last updated
02/27/2026
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