Individual
SUZANNE C AMORUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
340 BIRCHSIDE CIR, LOCUST GROVE, VA 22508-5438
(540) 760-5337
Mailing address
340 BIRCHSIDE CIR, LOCUST GROVE, VA 22508-5438
(540) 760-5337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
723791
VA
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811068729
—
VA
01
—
Q58686A
MEDICARE
VA
05
—
Q58686A
—
VA
Enumeration date
11/13/2006
Last updated
03/27/2025
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