Provider Demographics
NPI:1801447875
Name:HINDS, ASHLEY ANN (RDN, LDN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:HINDS
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:692 SARANAC DR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5607
Mailing Address - Country:US
Mailing Address - Phone:407-536-7332
Mailing Address - Fax:
Practice Address - Street 1:5738 CANTON CV STE 110
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5037
Practice Address - Country:US
Practice Address - Phone:407-536-7332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-21
Last Update Date:2019-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND7508133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered