Individual provider · Type 1 NPI
Patricia Diefenbach, ND, CNS, CPT
Nutrition Education Nutritionist · Fairfax Station, VA
NPI number
1003203258
Active
Practice location
6907 Brimstone Ln
Fairfax Station, VA 22039-1819
Mailing address
1900 Mount Vernon Ave Ste 206
Alexandria, VA 22301-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Naturopath | 175F00000X | 0053 (DC) |
| Naturopath | 175F00000X | 000538 (CT) |
| Athletic Trainer | 2255A2300X | None listed |
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
Another provider at this address
About NPI 1003203258
Patricia Diefenbach, ND, CNS, CPT's National Provider Identifier is 1003203258, issued on Apr 24, 2015. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Fairfax Station, VA. The record was last updated on Mar 3, 2020.