NPI 1235536293 · live from the CMS NPI Registry
Tina Marie Anderson, RD,LDN, MPH, CDE
Nutritionist in Cape Coral, FL. National Provider Identifier 1235536293, active.
NPI record
| NPI | 1235536293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nutritionist 133N00000X |
| Practice location | 501 Del Prado Blvd S, Cape Coral, FL 33990 |
| Practice phone | 239-424-3120 |
| Mailing address | Po Box 2147, Fort Myers, FL 33902 |
| Enumerated | November 19, 2014 |
| Last updated | January 27, 2025 |
| Sole proprietor | Yes |
| Other names | Tina Bona |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist, Nutrition, Education | 133NN1002X | ND11044 (FL) |
| Dietitian, Registered | 133V00000X | 164.000203 (IL) |
| Dietitian, Registered | 133V00000X | ND11044 (FL) |
| Nutritionist primary | 133N00000X | ND11044 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.