IndividualActive
Laura Mandeville, FNTP
NPI 1144934977 · Nutritionist · Burke, VA
Provider details
- NPI number
- 1144934977
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- FNTP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
6012 Liberty Bell Ct
Burke, VA 22015-3345
Phone: (703) 203-5074
Approximate (ZIP-level) locationGet directions
Mailing address
6012 Liberty Bell Ct
Burke, VA 22015-3345
Registry dates
- Enumerated
- 2023-01-06
- Last updated
- 2023-01-06
- Certified
- 2023-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.