Provider Demographics
NPI:1609219203
Name:MAUNEY, ANNE PETRAEUS (MPH, RD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:PETRAEUS
Last Name:MAUNEY
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 WILSON BLVD
Mailing Address - Street 2:APT 816
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-3323
Mailing Address - Country:US
Mailing Address - Phone:703-283-2308
Mailing Address - Fax:
Practice Address - Street 1:2201 WILSON BLVD
Practice Address - Street 2:APT 816
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-3323
Practice Address - Country:US
Practice Address - Phone:703-283-2308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered