Provider Demographics
NPI:1548941743
Name:SCARAMUZZO, ALLISON NICOLE (MS, RDN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICOLE
Last Name:SCARAMUZZO
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 SHANNON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6333
Mailing Address - Country:US
Mailing Address - Phone:919-870-1001
Mailing Address - Fax:919-516-0673
Practice Address - Street 1:3612 SHANNON RD STE 103
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6333
Practice Address - Country:US
Practice Address - Phone:919-870-1001
Practice Address - Fax:919-516-0673
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86289101133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist