Individual
ANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 956-1114
Mailing address
5668 ELEVATED WAY APT 308D, WHITESTOWN, IN 46075-0514
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003197A
IN
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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