Individual
ANN M NEUSSENDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
180 FLOYD AVE, ROCKY MOUNT, VA 24151-1318
(540) 224-5170
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
724937
IL
133V00000X
Registered Dietitian
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
724937
CERTIFICATION NUMBER
IL
Enumeration date
09/16/2006
Last updated
01/09/2025
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