Individual
MRS. HANNAH ALEXIS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1234 E DUPONT RD STE 1, FORT WAYNE, IN 46825-1545
(260) 266-6060
(260) 425-6395
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003226A
IN
133V00000X
Registered Dietitian
—
IN
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
37003226A
IN
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
IN
Other
Enumeration date
09/10/2020
Last updated
10/14/2020
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