Provider Demographics
NPI:1205807336
Name:DANAHY, ANNE M (RDN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:DANAHY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15865 E EAGLE ROCK DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-2269
Mailing Address - Country:US
Mailing Address - Phone:508-498-1468
Mailing Address - Fax:
Practice Address - Street 1:15865 E EAGLE ROCK DR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-2269
Practice Address - Country:US
Practice Address - Phone:508-498-1468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2017133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA39204OtherHARVARD PILGRIM
MALD0113OtherBLUE CROSS
MA0015223OtherNEIGHBORHOOD HEALTH PLAN
MA0015223OtherNEIGHBORHOOD HEALTH PLAN