Provider Demographics
NPI:1013377258
Name:ENEY, ANNA (RD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ENEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5034 18TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-4217
Mailing Address - Country:US
Mailing Address - Phone:425-231-3534
Mailing Address - Fax:
Practice Address - Street 1:1100 NE 45TH ST
Practice Address - Street 2:SUITE 600
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4683
Practice Address - Country:US
Practice Address - Phone:206-926-9087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60640259133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
86054461OtherCOMMISION ON DIETETIC REGISTRATION