Provider Demographics
NPI:1215345889
Name:ANAYA, MARIANA ARELI (RD)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:ARELI
Last Name:ANAYA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 LENOIR HALL SORORITY ROW,
Mailing Address - Street 2:DEPARTMENT OF NUTRITION & HOSPITALITY MANAGEMENT
Mailing Address - City:UNIVERSITY
Mailing Address - State:MS
Mailing Address - Zip Code:38677-1848
Mailing Address - Country:US
Mailing Address - Phone:662-915-2081
Mailing Address - Fax:662-915-7039
Practice Address - Street 1:110 LENOIR HALL SORORITY ROW,
Practice Address - Street 2:DEPARTMENT OF NUTRITION & HOSPITALITY MANAGEMENT
Practice Address - City:UNIVERSITY
Practice Address - State:MS
Practice Address - Zip Code:38677-1848
Practice Address - Country:US
Practice Address - Phone:662-915-2081
Practice Address - Fax:662-915-7039
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSD1645133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered