Doctor Name: | MS. ANTOINETTA V ANSELMO |
NPI Number: | 1093146128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 987208 |
Business Practice Address: | 544 N Alma School Rd Unit 5 Mesa, AZ - 852015474 |
Business Phone Number: | 6028034522 |
Business Fax Number: | 4806218109 |
Mailing Address: | 544 N Alma School Rd Unit 5, MESA |
State: | AZ |
Postal Code: | 852015474 |
Phone Number: | 6028034522 |
Fax Number: | 4806218109 |
NPI Enumeration Date: | 11/27/2013 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 987208 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |