Provider Demographics
NPI:1841232816
Name:ANDREWS, PATRICIA MACLEOD (MPH, RD, LDN, CDE)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MACLEOD
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MPH, RD, LDN, CDE
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:MACLEOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3711 HIGH MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-9600
Mailing Address - Country:US
Mailing Address - Phone:919-383-2300
Mailing Address - Fax:
Practice Address - Street 1:891 WILLOW DR
Practice Address - Street 2:SUITE 7
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7077
Practice Address - Country:US
Practice Address - Phone:919-880-4468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001042133V00000X
ILRD#621562133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1356477848OtherBCBSNC