Provider Demographics
NPI:1083491849
Name:ROHAR, ANNA (RD, CDCES)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ROHAR
Suffix:
Gender:F
Credentials:RD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 HASTINGS PARK DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1380
Mailing Address - Country:US
Mailing Address - Phone:412-527-6282
Mailing Address - Fax:
Practice Address - Street 1:1610 HASTINGS PARK DR
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1380
Practice Address - Country:US
Practice Address - Phone:412-527-6282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86011525133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered