Individual
ANNA HERONIMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0515
SD
133V00000X
Registered Dietitian
Primary
3983
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144699000
—
SD
Enumeration date
09/22/2015
Last updated
02/25/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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