IndividualActive
Mary Bembenek
NPI 1992195887 · Nutritionist · Fairfax, VA
Provider details
- NPI number
- 1992195887
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DX3614 (MD)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
8500 Executive Park Ave Ste 300a
Fairfax, VA 22031-2228
Phone: (703) 698-7117
Approximate (ZIP-level) locationGet directions
Mailing address
8500 Executive Park Ave Ste 300a
Fairfax, VA 22031-2228
Registry dates
- Enumerated
- 2015-01-29
- Last updated
- 2023-09-29
- Certified
- 2023-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.