Provider Demographics
NPI:1831416213
Name:ALBRO, RUTH HARTJE (RD, LD)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:HARTJE
Last Name:ALBRO
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 RIVER MILL RD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-8093
Mailing Address - Country:US
Mailing Address - Phone:256-858-2325
Mailing Address - Fax:
Practice Address - Street 1:105 RIVER MILL RD
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-8093
Practice Address - Country:US
Practice Address - Phone:256-858-2325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
AL1972133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered