Doctor Name: | MS. DEBORAH J BURT |
NPI Number: | 1013925700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | |
Business Practice Address: | 8035 Kentucky Derby Dr Midlothian, VA - 231126491 |
Business Phone Number: | 8042432981 |
Business Fax Number: | 8045943531 |
Mailing Address: | 8035 Kentucky Derby Dr, MIDLOTHIAN |
State: | VA |
Postal Code: | 231126491 |
Phone Number: | 8042432981 |
Fax Number: | 8045943531 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 01/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1005X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Renal |
Taxonomy Definition: |