Provider Demographics
NPI:1861532657
Name:VANSCOIK, ANDREA LYNN (RD, CDCES)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LYNN
Last Name:VANSCOIK
Suffix:
Gender:F
Credentials:RD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 POCOSHOCK PL STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6345
Mailing Address - Country:US
Mailing Address - Phone:804-287-4598
Mailing Address - Fax:804-674-4145
Practice Address - Street 1:2500 POCOSHOCK PL STE 201
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6345
Practice Address - Country:US
Practice Address - Phone:804-764-7885
Practice Address - Fax:804-674-4145
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
1447212592OtherHOSPITAL