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NPI 1326318163 · live from the CMS NPI Registry

Jennifer Caron Anderson, RD, CDE

Dietitian, Registered in Lafayette, IN. National Provider Identifier 1326318163, active.

NPI record

NPI1326318163 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location2600 Greenbush St, Lafayette, IN 47904
Practice phone765-448-8000
Mailing addressPo Box 5545, Lafayette, IN 47903
EnumeratedJanuary 11, 2012
Last updatedMarch 27, 2014
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X37002238A (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.