Provider Demographics
NPI:1851159883
Name:FARINAS, NATALIE (MS, RDN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:FARINAS
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:FARINAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RDN
Mailing Address - Street 1:19 WIRT ST SW
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-2916
Mailing Address - Country:US
Mailing Address - Phone:571-310-6029
Mailing Address - Fax:571-415-0930
Practice Address - Street 1:19 WIRT ST SW
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-2916
Practice Address - Country:US
Practice Address - Phone:571-310-6029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86373723133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered