Suparna Misra
Dietitian, Registered in Winterville, NC. Individual provider (NPI-1).
NPI number1528464591
StatusActive
Last updated in NPPESNov 18, 2014
Details
- NPI
- 1528464591
- Entity type
- Individual (NPI-1)
- Name
- Suparna Misra
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2014
- Last updated
- Nov 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L004088 | NC | Yes |
Practice location
944 Van Gert DrWinterville, NC 28590-7914
Phone 252-847-9501
Mailing address
944 Van Gert DrWinterville, NC 28590-7914
Phone 252-847-9501
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