IndividualActive
Ashley Degeare, NDTR
NPI 1265096762 · Registered Dietetic Technician · Fairfax, VA
Provider details
- NPI number
- 1265096762
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- No
- License
- 86131075 (VA)
Practice location
3903 Fair Ridge Dr Ste 209
Fairfax, VA 22033-2944
Phone: (703) 865-6490
Mailing address
42918 Redfield St
Ashburn, VA 20147-3639
Registry dates
- Enumerated
- 2019-04-30
- Last updated
- 2019-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.