Provider Demographics
NPI:1194259895
Name:RUPP, MARIA HUNTER (RDN, LDN)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:HUNTER
Last Name:RUPP
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005B S MEMORIAL DR
Mailing Address - Street 2:PO BOX 383
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6224
Mailing Address - Country:US
Mailing Address - Phone:252-758-0721
Mailing Address - Fax:252-756-7845
Practice Address - Street 1:3005 S MEMORIAL DR
Practice Address - Street 2:B
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6224
Practice Address - Country:US
Practice Address - Phone:252-758-0721
Practice Address - Fax:252-756-7845
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004516133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered