Provider Demographics
NPI:1871107607
Name:GRESH, EMILY MORGAN (RDN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MORGAN
Last Name:GRESH
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 LANVALE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2675
Mailing Address - Country:US
Mailing Address - Phone:540-808-5572
Mailing Address - Fax:
Practice Address - Street 1:76 LANVALE AVE APT 1
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2675
Practice Address - Country:US
Practice Address - Phone:540-808-5572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL006125133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered