NPI 1972107142 · live from the CMS NPI Registry
Anna Bauerle, RDN
Dietitian, Registered in Charleston, SC. National Provider Identifier 1972107142, active.
NPI record
| NPI | 1972107142 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 104 Spring St Apt C11, Charleston, SC 29403 |
| Practice phone | 843-446-8739 |
| Enumerated | November 28, 2020 |
| Last updated | November 28, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | — (SC) |
| Dietitian, Registered primary | 133V00000X | 86107165 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.