NPI 1003203258

Patricia Diefenbach, NDCNSCPT

Practitioner Nutrition Education Nutritionist Fairfax Station, VA

Practice location

Address: 6907 Brimstone Ln, Fairfax Station, VA 22039-1819
Phone: (703) 609-8717
Mailing address: 1900 Mount Vernon Ave STE 206, Alexandria, VA 22301-1302

Registered specialties (4)

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

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Naturopath

Other Service Providers Taxonomy 175F00000X Licence 0053 (DC)

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Naturopath

Other Service Providers Taxonomy 175F00000X Licence 000538 (CT)

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1003203258
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2015
Record last updated: 3 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.