Individual
CYNTHIA J ANDERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-6000
(701) 323-5883
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
147
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59577
—
ND
Enumeration date
10/10/2006
Last updated
01/11/2011
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