| Doctor Name: | ANN REIDENBACH |
| NPI Number: | 1114912482 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPH RD CD |
| License Number: | 37000578A |
| Business Practice Address: | 6522 Constitution Dr Fort Wayne, IN - 468041550 |
| Business Phone Number: | 2604333877 |
| Business Fax Number: | 2607555731 |
| Mailing Address: | 6522 Constitution Dr, FORT WAYNE |
| State: | IN |
| Postal Code: | 468041550 |
| Phone Number: | 2604333877 |
| Fax Number: | 2607555731 |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 01/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 37000578A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |