Provider Demographics
NPI:1902447717
Name:VOS, NATASHA AURELIE (RD)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:AURELIE
Last Name:VOS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 KENMORE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2020
Mailing Address - Country:US
Mailing Address - Phone:919-448-1237
Mailing Address - Fax:
Practice Address - Street 1:720 KENMORE RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2020
Practice Address - Country:US
Practice Address - Phone:919-448-1237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005922133V00000X
86132862133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered