Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JO HANEY, RD, CSP
Active Sole ProprietorPediatric Nutrition · NORFOLK, VA
Registration Details
- NPI Number
- 1760915953
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2017 (9.0464771785767 yrs)
- Last Updated
- Apr 5, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 CHILDRENS LNNORFOLK, VA, 235071910Browse VA providers · Browse ZIP 23507
- Phone
- 7576687464
- Fax
- 7576689108
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in NORFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. LYNN KISTLER | R.D. | 1558700518 |
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.