Provider Demographics
NPI:1083357982
Name:HANNAHS, VALARIE (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:
Last Name:HANNAHS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13441 IMBUS TRL NW
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7650
Mailing Address - Country:US
Mailing Address - Phone:614-783-8710
Mailing Address - Fax:
Practice Address - Street 1:13441 IMBUS TRL NW
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7650
Practice Address - Country:US
Practice Address - Phone:614-783-8710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5926133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered