Provider Demographics
NPI:1124884663
Name:MACDONALD, HANNA (RD, LD)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 IRBY DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-2904
Mailing Address - Country:US
Mailing Address - Phone:804-386-4112
Mailing Address - Fax:
Practice Address - Street 1:1212 IRBY DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-2904
Practice Address - Country:US
Practice Address - Phone:804-386-4112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered