Individual
AMY ELIZABETH BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001952A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001140962
ANTHEM PTAN
IN
01
—
1102269486
ANTHEM PTAN
IN
Enumeration date
10/27/2017
Last updated
05/17/2025
Update your record
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