Caroline Clancy, RDN
Dietitian, Registered, Nutrition, Sports Dietetics in Usaf Academy, CO. Individual provider (NPI-1).
NPI number1942002175
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1942002175
- Entity type
- Individual (NPI-1)
- Name
- Caroline Clancy
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2025
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1501X | Dietitian, Registered, Nutrition, Sports Dietetics | – | CO | Yes |
| 133VN1501X | Dietitian, Registered, Nutrition, Sports Dietetics | 2572 | MS | |
| 133VN1501X | Dietitian, Registered, Nutrition, Sports Dietetics | – | – |
Practice location
2169 Field House DrUsaf Academy, CO 80840-9599
Phone 904-402-0801
Mailing address
103 Eudora Welty Dr Apt K9Starkville, MS 39759-7751
Phone 904-402-0801
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