Erin Skinner, RD | |
760c Nw Broad St, Southern Pines, NC 28387-4102 | |
(916) 431-0236 | |
(916) 431-0236 |
Full Name | Erin Skinner |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 760c Nw Broad St, Southern Pines, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194194415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86045035 (California) | Secondary |
133V00000X | Dietitian, Registered | L006321 (North Carolina) | Primary |
Provider Name | Empowered Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497337513 PECOS PAC ID: 3476958240 Enrollment ID: O20210818000673 |
Mailing Address | Practice Location Address |
---|---|
Erin Skinner, RD 760c Nw Broad St, Southern Pines, NC 28387-4102 Ph: (916) 431-0236 | Erin Skinner, RD 760c Nw Broad St, Southern Pines, NC 28387-4102 Ph: (916) 431-0236 |
Kirby Mitchell, RD Dietitian Medicare: Medicare Enrolled Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 919-895-0755 | |
Rachel Leigh Gary, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-431-0236 | |
Melissa Renae Teel, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-800-7326 | |
Denise Maria Pavletic, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 124 Plantation Dr, Southern Pines, NC 28387 Phone: 919-618-8523 |