Provider Demographics
NPI:1528471844
Name:BURNS, ANNINA (NU)
Entity type:Individual
Prefix:DR
First Name:ANNINA
Middle Name:
Last Name:BURNS
Suffix:
Gender:F
Credentials:NU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 NEW HAMPSHIRE AVE NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3452
Mailing Address - Country:US
Mailing Address - Phone:202-417-6679
Mailing Address - Fax:202-478-1737
Practice Address - Street 1:2013 NEW HAMPSHIRE AVE NW
Practice Address - Street 2:SUITE 101
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-3452
Practice Address - Country:US
Practice Address - Phone:202-417-6679
Practice Address - Fax:202-478-1737
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNU100000154133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist