Provider Demographics
NPI:1568760668
Name:DEVENING, CHLOE B (RD, CDE)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:B
Last Name:DEVENING
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14366 SOMMERVILLE CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6838
Mailing Address - Country:US
Mailing Address - Phone:804-258-2688
Mailing Address - Fax:804-378-0938
Practice Address - Street 1:14366 SOMMERVILLE CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6838
Practice Address - Country:US
Practice Address - Phone:804-258-2688
Practice Address - Fax:804-378-0938
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
976831133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06695OtherGROUP PTAN