Provider Demographics
NPI:1063810588
Name:FERGUSON, ANNE (RD LMNT)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:RD LMNT
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:WEYHRAUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD LMNT
Mailing Address - Street 1:555 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2462
Mailing Address - Country:US
Mailing Address - Phone:402-219-7360
Mailing Address - Fax:
Practice Address - Street 1:555 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2462
Practice Address - Country:US
Practice Address - Phone:402-219-7360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE995133V00000X
KS1496133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered