Doctor Name: | MRS. ANGELA J MANDERFELD |
NPI Number: | 1275833469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CDE |
License Number: | AK133 |
Business Practice Address: | 4320 Diplomacy Dr. Anchorage, AK - 99508 |
Business Phone Number: | 9077291500 |
Business Fax Number: | 9077291508 |
Mailing Address: | 4315 Diplomacy Dr, Anc-dia ANCHORAGE |
State: | AK |
Postal Code: | 99508 |
Phone Number: | 9077291128 |
Fax Number: | 9077291129 |
NPI Enumeration Date: | 10/22/2010 |
NPI Last Update Date: | 10/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | AK133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |