Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA PANIZO, RD
ActivePediatric Nutrition · MC LEAN, VA
Registration Details
- NPI Number
- 1699263640
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2018 (7.9916867404473 yrs)
- Last Updated
- Apr 25, 2018
- License
-
963254
Practice Information
- Address
-
8365A GREENSBORO DRMC LEAN, VA, 221023530Browse VA providers · Browse ZIP 22102
- Phone
- 7033564444
- Fax
- 7037340129
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.