Doctor Name: | MS. TERRIYON FAIRLEY |
NPI Number: | 1467845131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN, LDN |
License Number: | 2584 |
Business Practice Address: | 3111 Florida Blvd Baton Rouge, LA - 708063758 |
Business Phone Number: | 2256502093 |
Business Fax Number: | 2256158794 |
Mailing Address: | 3111 Florida Blvd, BATON ROUGE |
State: | LA |
Postal Code: | 708063758 |
Phone Number: | 2256502093 |
Fax Number: | 2256158794 |
NPI Enumeration Date: | 03/05/2015 |
NPI Last Update Date: | 03/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |