Emily Virginia Bowling, M.S. R.D.
Dietitian, Registered in Crestview, FL. Individual provider (NPI-1).
NPI number1821353046
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1821353046
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Emily Virginia Bowling
- Credential
- M.S. R.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2012
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
| 133V00000X | Dietitian, Registered | ND6317 | FL | |
| 133V00000X | Dietitian, Registered | DT81061 | TX |
Practice location
1078 S Ferdon BlvdCrestview, FL 32536-4502
Phone 850-682-0381
Mailing address
4686 Hickory Signpost RdWilliamsburg, VA 23185-2462
Phone 210-464-0313
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