Doctor Name: | MS. RENE MARIE ANDERES |
NPI Number: | 1801199252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D.N. |
License Number: | 164.005361 |
Business Practice Address: | 925 West St Peru, IL - 613542757 |
Business Phone Number: | 8157803520 |
Business Fax Number: | 8157804679 |
Mailing Address: | 925 West St, PERU |
State: | IL |
Postal Code: | 613542757 |
Phone Number: | 8157803520 |
Fax Number: | 8157804679 |
NPI Enumeration Date: | 12/07/2010 |
NPI Last Update Date: | 12/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.005361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |