Tristen Basinger
Dietitian, Registered in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1154907186
StatusActive
Last updated in NPPESMar 21, 2021
Details
- NPI
- 1154907186
- Entity type
- Individual (NPI-1)
- Name
- Tristen Basinger
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2021
- Certification date
- Mar 21, 2021
- Last updated
- Mar 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
848 First Colonial RdVirginia Beach, VA 23451-6126
Phone 757-422-4728
Mailing address
848 First Colonial RdVirginia Beach, VA 23451-6126
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