NPI 1447860093 · live from the CMS NPI Registry
Angelica Anderson, MS, RDN, LD
Dietitian, Registered in Clearwater, MN. National Provider Identifier 1447860093, active.
NPI record
| NPI | 1447860093 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 700 Kelsey Ave Apt 109, Clearwater, MN 55320 |
| Practice phone | 612-367-6572 |
| Mailing address | 2035 Bula Dr, Colorado Springs, CO 80915 |
| Enumerated | August 7, 2020 |
| Last updated | August 7, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 4342 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.