Individual provider · NPI-1

Stacey Barnes, RD, LD

Dietitian, Registered · Richmond, VA

NPI number1639648405
StatusActive
Last updated in NPPESNov 21, 2018

Details

NPI
1639648405
Entity type
Individual (NPI-1)
Name
Stacey Barnes
Credential
RD, LD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2018
Last updated
Nov 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered926097ALYes
133V00000X Dietitian, Registered1487AL

Practice location

2924 Emerywood Pkwy Ste 103
Richmond, VA 23294-3746

Phone 804-527-0815

Mailing address

2924 Emerywood Pkwy Ste 103
Richmond, VA 23294-3746

Phone 804-527-0815

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