Provider Demographics
NPI:1891411294
Name:HEALTHY SOLUTIONS WITH ANGELA LLC
Entity Type:Organization
Organization Name:HEALTHY SOLUTIONS WITH ANGELA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDERFELD
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:907-250-2531
Mailing Address - Street 1:13801 MAINSAIL DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-3569
Mailing Address - Country:US
Mailing Address - Phone:907-250-2531
Mailing Address - Fax:907-802-6207
Practice Address - Street 1:13801 MAINSAIL DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-3569
Practice Address - Country:US
Practice Address - Phone:907-250-2531
Practice Address - Fax:907-802-6207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty