Provider Demographics
NPI:1972030963
Name:ROLLINS, ANNE BETH (MS RD CSSD LDN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:BETH
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:MS RD CSSD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-4906
Mailing Address - Country:US
Mailing Address - Phone:781-999-2503
Mailing Address - Fax:
Practice Address - Street 1:18 ADAMS ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-4906
Practice Address - Country:US
Practice Address - Phone:781-999-2503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA963455133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered