Provider Demographics
NPI:1659760338
Name:ANNE TILL CONSULTING LLC
Entity Type:Organization
Organization Name:ANNE TILL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:TILL
Authorized Official - Suffix:
Authorized Official - Credentials:MNUTR, RDN, LDN
Authorized Official - Phone:919-990-1130
Mailing Address - Street 1:110 TRIDENT CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8692
Mailing Address - Country:US
Mailing Address - Phone:919-749-5929
Mailing Address - Fax:919-650-3759
Practice Address - Street 1:105 KILMAYNE DR STE B
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4433
Practice Address - Country:US
Practice Address - Phone:919-990-1130
Practice Address - Fax:984-244-0506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-17
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004328133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty