Provider Demographics
NPI:1659023471
Name:NAVIN, JULIA (RD, LDN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:NAVIN
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 MATTHEWS MINT HILL RD STE B
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2694
Mailing Address - Country:US
Mailing Address - Phone:704-846-7105
Mailing Address - Fax:
Practice Address - Street 1:11330 VANSTORY DR STE 109K
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8146
Practice Address - Country:US
Practice Address - Phone:704-846-7105
Practice Address - Fax:704-246-6808
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL006010133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered