Provider Demographics
NPI:1780488254
Name:MCDANIEL, ANMERIE (MS, RD, LMNT)
Entity type:Individual
Prefix:
First Name:ANMERIE
Middle Name:
Last Name:MCDANIEL
Suffix:
Gender:
Credentials:MS, RD, LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4850 OLD CHENEY RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3139
Mailing Address - Country:US
Mailing Address - Phone:951-212-9889
Mailing Address - Fax:
Practice Address - Street 1:4850 OLD CHENEY RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3139
Practice Address - Country:US
Practice Address - Phone:951-212-9889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE86147143133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty