Provider Demographics
NPI:1982064275
Name:ARMSTRONG, ANNE (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MAPLE TREE CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4078
Mailing Address - Country:US
Mailing Address - Phone:864-751-0532
Mailing Address - Fax:
Practice Address - Street 1:12 MAPLE TREE CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4078
Practice Address - Country:US
Practice Address - Phone:864-751-0532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1462133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered