IndividualActive
Mary Johnson, RD, CDE
NPI 1396836003 · Metabolic Nutrition Registered Dietitian · Martinsburg, WV
Provider details
- NPI number
- 1396836003
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 716432 (VA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
510 Butler Ave
Veterans Affairs Medical Center
Martinsburg, WV 25405
Phone: (304) 263-0811
Fax: (304) 262-7435
Approximate (ZIP-level) locationGet directions
Mailing address
100 W. North Ave
Winchester, VA 22601
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.