Individual
MS. ANNE MCRAE MITTNACHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN, CEDRD
Contact information
Practice address
111 MIDDLESEX TPKE # 1107, BURLINGTON, MA 01803-4905
(617) 942-4363
Mailing address
680 IDEAL WAY, CHARLOTTE, NC 28203-5625
(609) 577-6791
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN4425
MA
Other
Enumeration date
11/14/2016
Last updated
02/05/2024
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