Provider Demographics
NPI:1871809566
Name:PITNEY, VANESSA ELLEN (MS, RD)
Entity type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:ELLEN
Last Name:PITNEY
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3471 DURHAM DAYTON HWY
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9577
Mailing Address - Country:US
Mailing Address - Phone:530-230-4143
Mailing Address - Fax:
Practice Address - Street 1:4 GOVERNORS LN STE C
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-5514
Practice Address - Country:US
Practice Address - Phone:530-230-4143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1020995133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered