Provider Demographics
NPI:1891254033
Name:NEVILLE, KAROLINE S (RDN, LDN)
Entity type:Individual
Prefix:
First Name:KAROLINE
Middle Name:S
Last Name:NEVILLE
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:KAROLINE
Other - Middle Name:S
Other - Last Name:NEVILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:9901 BAY CT UNIT 3
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21842-8208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9901 BAY CT UNIT 3
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-8208
Practice Address - Country:US
Practice Address - Phone:571-268-6909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX4660133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered