Andersons Nutrition

Registered Dietitian · Mesa, AZ

Organization Active NPI

NPI number 1316337652

Practice location

4904 S Power Rd
St 188-106
Mesa, AZ 85212
Phone
(602) 770-7611

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NPI record

NPI
1316337652
Entity type
Organization (Type 2)
Enumeration date
January 26, 2015
Last updated
May 15, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 1038050 AZ

Mailing address

4904 S Power Rd
St 188-106
Mesa, AZ 85212-3609

Authorized official

Name
Nicole Anderson- Goodrich, MS, RD
Title
President
Phone
(602) 770-7611

About Andersons Nutrition

Andersons Nutrition is a healthcare organization registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 4904 S Power Rd, St 188-106, Mesa, AZ 85212. The NPI number 1316337652 was assigned on January 26, 2015 and the record was last updated on May 15, 2018.

Andersons Nutrition lists a license in the registry: #1038050 (AZ) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Nicole Anderson- Goodrich, MS, RD, President.

Frequently asked questions

What is the NPI number of Andersons Nutrition?

The NPI number is 1316337652.

What is the phone number of Andersons Nutrition?

The phone number listed for the practice location is (602) 770-7611.

Where is Andersons Nutrition located?

4904 S Power Rd, St 188-106, Mesa, AZ 85212.

What is the taxonomy code for Andersons Nutrition?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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