Provider Demographics
NPI:1336479013
Name:GERBER, ANN (RD, LD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:GERBER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-3040
Mailing Address - Country:US
Mailing Address - Phone:301-656-5424
Mailing Address - Fax:301-656-2472
Practice Address - Street 1:5108 SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-3040
Practice Address - Country:US
Practice Address - Phone:301-656-5424
Practice Address - Fax:301-656-2472
Is Sole Proprietor?:No
Enumeration Date:2010-01-02
Last Update Date:2010-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX2594133V00000X
DCD1100000244133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered