Provider Demographics
NPI:1750476743
Name:GIVENS, ANITA NIKIRK (RD)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:NIKIRK
Last Name:GIVENS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19133 STERLING DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-6743
Mailing Address - Country:US
Mailing Address - Phone:276-628-8073
Mailing Address - Fax:
Practice Address - Street 1:19133 STERLING DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-6743
Practice Address - Country:US
Practice Address - Phone:276-628-8073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered