Provider Demographics
NPI:1720144199
Name:BARNES, SUZANNE HOFFMAN (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:HOFFMAN
Last Name:BARNES
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2869 MEADOW WOOD DR E
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4243
Mailing Address - Country:US
Mailing Address - Phone:757-484-3991
Mailing Address - Fax:757-398-2169
Practice Address - Street 1:3636 HIGH ST
Practice Address - Street 2:HEALTH AWARENESS DEPT., MARYVIEW MEDICAL CENTER
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3236
Practice Address - Country:US
Practice Address - Phone:757-398-2094
Practice Address - Fax:757-398-2169
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered