Individual
ANNETTE L. PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD, CDE
Contact information
Practice address
9417 BROADVIEW RD, BROADVIEW HEIGHTS, OH 44147-2307
(330) 388-7894
Mailing address
9417 BROADVIEW RD, BROADVIEW HEIGHTS, OH 44147-2307
(330) 388-7894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD2323
OH
163WD0400X
Diabetes Educator Registered Nurse
288780
OH
Other
Enumeration date
02/28/2008
Last updated
09/03/2021
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