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Pediatric Nutrition Support — NPI 1902220692, Lovettsville, VA | NPI Central

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NPI 1902220692

OrganizationActive

Pediatric Nutrition Support

NPI 1902220692 · Early Intervention Provider Agency · Lovettsville, VA

Provider details

NPI number: 1902220692
Entity type: Organization
Primary specialty: Early Intervention Provider AgencyAgencies
Organization subpart: No
Authorized official: Sheree Hughes, Pediatric Dietitian(703) 727-6100
License: 676968 (VA)

Specialties & taxonomies

Early Intervention Provider AgencyPrimary252Y00000XLicense 633 (WV)
Agencies
Early Intervention Provider Agency252Y00000XLicense 676968 (VA)
Agencies

Practice location

38731 Rickard Rd

Lovettsville, VA 20180-3115

Phone: (703) 727-6100

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

38731 Rickard Rd

Lovettsville, VA 20180-3115

Registry dates

Enumerated: 2014-02-14
Last updated: 2014-02-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.