Provider Demographics
NPI:1134747561
Name:BROWN, ANNA (MS, RD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 S 2ND ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-5276
Mailing Address - Country:US
Mailing Address - Phone:720-289-1871
Mailing Address - Fax:
Practice Address - Street 1:135 S 2ND ST APT 4B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-5276
Practice Address - Country:US
Practice Address - Phone:720-289-1871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered