Provider Demographics
NPI:1184751281
Name:WATERS, VALERIE BIRINGER (RD)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:BIRINGER
Last Name:WATERS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10571 TELEGRAPH RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-4652
Mailing Address - Country:US
Mailing Address - Phone:804-864-1998
Mailing Address - Fax:804-864-1997
Practice Address - Street 1:10571 TELEGRAPH RD
Practice Address - Street 2:SUITE 130
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-4652
Practice Address - Country:US
Practice Address - Phone:804-864-1998
Practice Address - Fax:804-864-1997
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered