Provider Demographics
NPI:1376011379
Name:SCHROEDER, NATALIA (PHD, RDN)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:PHD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WASHINGTON ST APT 4
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3530
Mailing Address - Country:US
Mailing Address - Phone:540-270-9824
Mailing Address - Fax:
Practice Address - Street 1:183 KEITH ST STE 4A
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3231
Practice Address - Country:US
Practice Address - Phone:540-422-3016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN964094133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered