Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY PENCE, CNS, LDN
ActiveNutritionist · GREAT FALLS, VA
Registration Details
- NPI Number
- 1497400998
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2022 (4.2220099813529 yrs)
- Last Updated
- Feb 14, 2022
- Licenses
-
DX5561 (MD)DX5561 (MD)
Practice Information
- Address
-
612 DEERFIELD POND CTGREAT FALLS, VA, 220662830Browse VA providers · Browse ZIP 22066
- Phone
- 7037286216
- Primary Specialty
-
Nutritionist
133N00000X
- Additional Specialty
- Nutritionist
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.