Provider Demographics
NPI:1669262952
Name:YAEGER, ANNE MARIE (RDN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:YAEGER
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:YAEGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDN
Mailing Address - Street 1:17932 SE 84TH ABERCORN CT
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-4846
Mailing Address - Country:US
Mailing Address - Phone:352-808-2110
Mailing Address - Fax:
Practice Address - Street 1:17932 SE 84TH ABERCORN CT
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-4846
Practice Address - Country:US
Practice Address - Phone:352-808-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered