Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VERONIQUE CHAMPAGNE PETTITT, RD, CSR
Active Sole ProprietorVERONIQUE CHAMPAGNE PETTITT, RD, CSR is a Renal Nutrition healthcare provider located in CHESAPEAKE, Virginia. NPI 1508401589 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · CHESAPEAKE, VA
Registration Details
- NPI Number
- 1508401589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2019 (6.7764899592503 yrs)
- Last Updated
- Dec 4, 2023
- Licenses
-
86057834 (VA)86057834 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
304 S MONTEREY DRCHESAPEAKE, VA, 233203302Browse VA providers · Browse ZIP 23320
- Phone
- 7576095877
- Primary Specialty
-
Renal Nutrition
133VN1005X
- Additional Specialty
- Registered Dietitian
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.