Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICIA DIEFENBACH, ND, CNS, CPT
Active Sole ProprietorNutrition, Education · FAIRFAX STATION, VA
Registration Details
- NPI Number
- 1003203258
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2015 (11.033082649927 yrs)
- Last Updated
- Mar 3, 2020
- Licenses
-
0053 (DC)000538 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6907 BRIMSTONE LNFAIRFAX STATION, VA, 220391819Browse VA providers · Browse ZIP 22039
- Phone
- 7036098717
- Primary Specialty
-
Nutrition, Education
133NN1002X
- Additional Specialty
- Naturopath
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Nutrition, Education
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.