Individual
VANESSA ATIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6742 AIRBORNE ST, FORT CAMPBELL, KY 42223
(570) 814-9252
Mailing address
6742 AIRBORNE ST, APO, AA 42223
(570) 814-9252
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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