Provider Demographics
NPI:1962831586
Name:VULPIS, PATRICIA MORGAN
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MORGAN
Last Name:VULPIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TRISH
Other - Middle Name:MORGAN
Other - Last Name:VULPIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:402 LEGAULT DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8326
Mailing Address - Country:US
Mailing Address - Phone:919-454-1417
Mailing Address - Fax:919-350-2319
Practice Address - Street 1:402 LEGAULT DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8326
Practice Address - Country:US
Practice Address - Phone:919-454-1417
Practice Address - Fax:919-350-2319
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL000623133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered