Provider Demographics
NPI:1376325381
Name:ARNOLD, ANN BROOKS
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:BROOKS
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:BROOKS
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:860 ARMAND CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4201
Mailing Address - Country:US
Mailing Address - Phone:205-516-5812
Mailing Address - Fax:
Practice Address - Street 1:720 MONROE ST STE E512
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-6360
Practice Address - Country:US
Practice Address - Phone:917-647-1665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered