Provider Demographics
NPI:1568278273
Name:ANGELL, HANNAH (RD, LDN)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:ANGELL
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5255 GRINNELL RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-6516
Mailing Address - Country:US
Mailing Address - Phone:763-498-1681
Mailing Address - Fax:
Practice Address - Street 1:5255 GRINNELL RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-6516
Practice Address - Country:US
Practice Address - Phone:763-498-1681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered