Provider Demographics
NPI:1134190549
Name:HALL, ANN MARIE BECKMAN (MRE,RD,LD,CDE)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE BECKMAN
Last Name:HALL
Suffix:
Gender:F
Credentials:MRE,RD,LD,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 TSCHIFFELY SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5628
Mailing Address - Country:US
Mailing Address - Phone:301-963-2132
Mailing Address - Fax:
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER WARD 48 NEPHROLOGY
Practice Address - Street 2:9600 GEORGIA AVENUE NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-6352
Practice Address - Fax:202-782-0185
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX 2469133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal