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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHELLEY BOLT WILKINS, RD

Active Sole Proprietor

Pediatric Nutrition · RALEIGH, NC

Registration Details

NPI Number
1922496173
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2014 (11.331639720492 yrs)
Last Updated
Dec 22, 2014
Licenses
962233 (NC)
L002674 (NC)
Sole Proprietor
Yes

Practice Information

Address
23 SUNNYBROOK RD STE 200
RALEIGH, NC, 276101855
Browse NC providers · Browse ZIP 27610
Phone
9192346435
Fax
9192310314
Primary Specialty
Pediatric Nutrition
133VN1004X
Additional Specialty
Pediatric Nutrition

Other Pediatric Nutrition Providers in RALEIGH, NC

Name Credential NPI
KELLY SUE LEONARD NUTRITIONIST 1912202722
CAROL MARY MEDINS MPH, RD, LDN, CNSC 1639646367
KELSEY IONA PARKMAN RD 1710622311
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.