Doctor Name: | BARBARA E PETTY |
NPI Number: | 1568562072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | |
Business Practice Address: | 19415 Deerfield Ave Suite 213 Leesburg, VA - 201768452 |
Business Phone Number: | 7037299220 |
Business Fax Number: | 7038583529 |
Mailing Address: | Po Box 17334, BALTIMORE |
State: | MD |
Postal Code: | 212971334 |
Phone Number: | 7037299220 |
Fax Number: | 7038583529 |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |