Provider Demographics
NPI:1235707688
Name:SCHWALB, CINDY RENEE (CNS, LDN)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:RENEE
Last Name:SCHWALB
Suffix:
Gender:F
Credentials:CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42100 SAXON SHORE DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-7621
Mailing Address - Country:US
Mailing Address - Phone:703-930-0426
Mailing Address - Fax:
Practice Address - Street 1:42100 SAXON SHORE DR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-7621
Practice Address - Country:US
Practice Address - Phone:703-930-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-13
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX5297133NN1002X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
CNS17842OtherCERTIFIED NUTRITION SPECIALIST