Pediatric Nutrition Support
Pediatric Nutrition Support is an Early Intervention Provider Agency in Lovettsville, Virginia. Licensed in Virginia and West Virginia. Registered with an NPI since 2014.
- Licensed in
- VA, WV
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
38731 Rickard RdLovettsville, VA 20180-3115
Phone: (703) 727-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 633 (WV) |
|---|---|
| Early Intervention Provider Agency | Taxonomy 252Y00000X · Licence 676968 (VA) |
Record details
| NPI number | 1902220692 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sheree Hughes — Pediatric Dietitian · (703) 727-6100 |
| NPI enumerated | February 14, 2014 |
| Last updated in NPPES | February 14, 2014 |
| Mailing address | 38731 Rickard Rd, Lovettsville, VA 20180-3115 |