Individual
MS. NICOLE VERONIQUE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
6305 CARDINAL HILL PL, SPRINGFIELD, VA 22152-2233
(703) 969-6114
(703) 991-1254
Mailing address
6305 CARDINAL HILL PL, SPRINGFIELD, VA 22152-2233
(703) 969-6114
(703) 991-1254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI10000023
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608347
HEALTH FITNESS CERTIFICAT
—
01
—
716396
DIETITIAN REGISTRATION #
—
01
—
DI10000023
LICENSE
DC
Enumeration date
01/03/2007
Last updated
07/08/2007
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