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Mrs. Bonnie Leanne Walsh, MSE,RD,LDN
Pediatric Nutrition Registered Dietitian in Concord, North Carolina
NPI 1548384647

Bonnie Leanne Walsh is a Pediatric Nutrition Registered Dietitian based in Concord, NC and is specialized in Nutrition, Pediatric. Bonnie Leanne Walsh practices in Concord, NC and has the professional credentials of MSE,RD,LDN. The NPI Number for Bonnie Leanne Walsh is 1548384647 and holds a License No. L001205 (North Carolina).

The current practice location address for Bonnie Leanne Walsh is 1065 Vinehaven Dr, Concord, NC and can be reached out via phone at 704-786-9181 and via fax at 704-792-9198. You can also correspond with Bonnie Leanne Walsh through the mailing address at 1065 VINEHAVEN DR, CONCORD, NC - 28025-2439 (mailing address contact number: 704-786-9181).

Location: 1065 Vinehaven Dr, Concord, NC, 28025-2439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548384647
Provider Name
Bonnie Leanne Walsh
Credential
MSE,RD,LDN
Provider Entity Type
Individual
Gender
Female
Address
1065 Vinehaven Dr, Concord, NC, 28025-2439
Phone Number
704-786-9181
Fax Number
704-792-9198
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L001205 01 NC LICENSED DIETITIAN
713894 01 REGISTERRED DITITIAN RD
institution
Provider Business Practice Location Address Details
Address
1065 Vinehaven Dr
City
Concord
State
North Carolina
Zip
28025-2439
Phone Number
704-786-9181
Fax Number
704-792-9198
person
Provider Business Mailing Address Details
Address
1065 Vinehaven Dr
City
Concord
State
North Carolina
Zip
28025-2439
Phone Number
704-786-9181
Fax Number
704-792-9198
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
L001205 (North Carolina)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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