Individual
NICOLE STANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
21785 FILIGREE CT STE 100, ASHBURN, VA 20147-6214
(703) 554-1122
(703) 554-1047
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
Primary
959933
VA
Other
Enumeration date
04/12/2019
Last updated
10/10/2022
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