Provider Demographics
NPI:1962445619
Name:ANDERS AND DUNAWAY NUTRITION CONSULTANTS, INC.
Entity Type:Organization
Organization Name:ANDERS AND DUNAWAY NUTRITION CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDE
Authorized Official - Phone:702-382-8841
Mailing Address - Street 1:3430 E FLAMINGO RD STE 234
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5065
Mailing Address - Country:US
Mailing Address - Phone:702-382-8841
Mailing Address - Fax:702-369-2370
Practice Address - Street 1:3430 E FLAMINGO RD STE 234
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5065
Practice Address - Country:US
Practice Address - Phone:702-382-8841
Practice Address - Fax:702-369-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
NV133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty