IndividualActive
Diana Nguyen, MS, RD, LD, CSSD
NPI 1164974838 · Sports Dietetics Nutrition Registered Dietitian · Fort Bragg, NC
Provider details
- NPI number
- 1164974838
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LD, CSSD
- Sex
- Female
- Sole proprietor
- No
- License
- L004559 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-8205
Phone: (979) 224-3104
Approximate (ZIP-level) locationGet directions
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Registry dates
- Enumerated
- 2016-10-28
- Last updated
- 2025-06-16
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.