IndividualActive
Andrea Davis, RD
NPI 1891024147 · Renal Nutrition Registered Dietitian · Rego Park, NY
Provider details
- NPI number
- 1891024147
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0003361 (NY)
Mailing address
9405 66th Ave
Rego Park, NY 11374-4631
Registry dates
- Enumerated
- 2009-12-16
- Last updated
- 2009-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.