NPI 1003312315

Courtney Bascom

Practitioner Registered Dietitian Charlottesville, VA

Practice location

Address: 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363
Phone: (434) 924-5367
Mailing address: 361 1st St N, Charlottesville, VA 22902-5004

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86077676

Other Dietitian, Registered providers in Virginia →

Registry record

NPI: 1003312315
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2018
Record last updated: 4 Apr 2018

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.