Basheerah Enahora, RDN, LDN
Dietitian, Registered in Charlotte, NC. Individual provider (NPI-1).
NPI number1669924767
StatusActive
Last updated in NPPESSep 11, 2019
Details
- NPI
- 1669924767
- Entity type
- Individual (NPI-1)
- Name
- Ms. Basheerah Enahora
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2016
- Last updated
- Sep 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L004831 | NC | Yes |
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | L004831 | NC |
Practice location
4651 Charlotte Park Dr Ste 101cCharlotte, NC 28217-1916
Phone 704-380-9924
Mailing address
4651 Charlotte Park Dr Ste 101cCharlotte, NC 28217-1916
Phone 704-380-9924
Other practice locations
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