Provider Demographics
NPI:1669242517
Name:VERO NUTRITION, LLC
Entity type:Organization
Organization Name:VERO NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:VERONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETTITT
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:757-453-5473
Mailing Address - Street 1:304 S MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3302
Mailing Address - Country:US
Mailing Address - Phone:757-453-5473
Mailing Address - Fax:
Practice Address - Street 1:304 S MONTEREY DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3302
Practice Address - Country:US
Practice Address - Phone:757-453-5473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty