Doctor Name: | DESTINY DAWN ANDERSON |
NPI Number: | 1548392988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD, CLC |
License Number: | 2367 |
Business Practice Address: | Hospital Circle Drive Blackfeet Community Hospital Browning, MT - 594170760 |
Business Phone Number: | 4063386312 |
Business Fax Number: | 4063386308 |
Mailing Address: | Po Box 760, Blackfeet Community Hospital BROWNING |
State: | MT |
Postal Code: | 594170760 |
Phone Number: | 4063386312 |
Fax Number: | 4063386308 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |