Provider Demographics
NPI:1528880309
Name:WEST, CAROLYN (RD, LDN)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3146 ZEBROID WAY
Mailing Address - Street 2:
Mailing Address - City:NEW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27562-9351
Mailing Address - Country:US
Mailing Address - Phone:715-579-6964
Mailing Address - Fax:
Practice Address - Street 1:40 DUKE MEDICINE CIR RM 15
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-4000
Practice Address - Country:US
Practice Address - Phone:919-681-0807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86073190133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered