Provider Demographics
NPI:1871109447
Name:PATEL, PRIYA A (CHES)
Entity type:Individual
Prefix:
First Name:PRIYA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 HUNTINGTON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5988
Mailing Address - Country:US
Mailing Address - Phone:706-296-5374
Mailing Address - Fax:
Practice Address - Street 1:389 HUNTINGTON RIDGE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5988
Practice Address - Country:US
Practice Address - Phone:706-296-5374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-19
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CHES31046133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education