Provider Demographics
NPI:1316646631
Name:GEIRAN, ANNE MOLONEY (RD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MOLONEY
Last Name:GEIRAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:MOLONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:8786 PEABODY ST
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4321
Mailing Address - Country:US
Mailing Address - Phone:202-243-8598
Mailing Address - Fax:
Practice Address - Street 1:8786 PEABODY ST
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4321
Practice Address - Country:US
Practice Address - Phone:202-243-8598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA683763133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
683763OtherREGISTERED DIETITIAN