Provider Demographics
NPI:1538029186
Name:HERNANDEZ, ZORIANA (RD, LD)
Entity type:Individual
Prefix:
First Name:ZORIANA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:ZORIANA
Other - Middle Name:
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:905 FRESNEL RUN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-3726
Mailing Address - Country:US
Mailing Address - Phone:513-267-9663
Mailing Address - Fax:
Practice Address - Street 1:905 FRESNEL RUN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-3726
Practice Address - Country:US
Practice Address - Phone:513-267-9663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.009301133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered