NPI 1114258357

Diane Elaine Black, MSRDCDE

Practitioner Registered Dietitian Salem, VA

Practice location

Address: 2157 Apperson Dr, Salem, VA 24153-7235
Phone: (540) 777-0000
Mailing address: 10102 Edgecombe Pl NE, Bainbridge Island, WA 98110-4334

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 572543 (PA)

Other Dietitian, Registered providers in Virginia →

Registry record

NPI: 1114258357
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2010
Record last updated: 28 Jan 2010

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.