Provider Demographics
NPI:1003271883
Name:DIXON, ANN MARIE
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:DIXON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:EAST MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05651-4246
Mailing Address - Country:US
Mailing Address - Phone:703-470-0315
Mailing Address - Fax:
Practice Address - Street 1:265 GREEN RD
Practice Address - Street 2:
Practice Address - City:EAST MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05651-4246
Practice Address - Country:US
Practice Address - Phone:703-470-0315
Practice Address - Fax:802-223-7345
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education