NPI 1720555402 · live from the CMS NPI Registry
Carrie Ann Anderson, RD
Dietitian, Registered in Lafayette, IN. National Provider Identifier 1720555402, active.
NPI record
| NPI | 1720555402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2600 Greenbush St, Lafayette, IN 47904 |
| Practice phone | 765-448-8000 |
| Mailing address | Po Box 5545, Lafayette, IN 47903 |
| Enumerated | October 31, 2018 |
| Last updated | October 31, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.