NPI 1770020653

Tina Krupczak, MSCNSLDN

Practitioner Nutritionist Herndon, VA

Practice location

Address: 2343 Dulles Station Blvd APT 130, Herndon, VA 20171-6399
Phone: (703) 349-2868

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence DX3787 (MD)

Other Nutritionist providers in Virginia →

Registry record

NPI: 1770020653
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2017
Record last updated: 30 Jan 2017

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.