Individual
MS. STEPHANIE LAYKISH NUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDE
Contact information
Practice address
211 VIRGINIA RD, EDENTON, NC 27932-9668
(252) 482-8451
(252) 482-6224
Mailing address
PO BOX 629, 211 VIRGINIA ROAD, EDENTON, NC 27932-0629
(252) 482-8451
(252) 482-6224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000898
NC
Other
Enumeration date
08/26/2013
Last updated
09/25/2013
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