Organization Name: | ANDERSON'S NUTRITION |
NPI Number: | 1316337652 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLE ANDERSON- GOODRICH (PRESIDENT) |
Mailing Address: | 4904 S Power Rd St 188-106 Mesa |
State: | AZ US |
Postal Code: | 852123609 |
Phone Number: | 6027707611 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2015 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1038050 |
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 |