IndividualActive
Doris Wicks, RD, LDN, CNSC
NPI 1386932739 · Metabolic Nutrition Registered Dietitian · Cornelius, NC
Provider details
- NPI number
- 1386932739
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN, CNSC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L003291 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
19220 Makayla Ln
Cornelius, NC 28031-6527
Phone: (772) 633-3176
Approximate (ZIP-level) locationGet directions
Mailing address
19220 Makayla Ln
Cornelius, NC 28031-6527
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2011-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.