Provider Demographics
NPI:1982876389
Name:TOWNLEY, ANNE CONSTANCE (RD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:CONSTANCE
Last Name:TOWNLEY
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 S BECKHAM AVE
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1904
Mailing Address - Country:US
Mailing Address - Phone:903-531-4848
Mailing Address - Fax:903-531-5800
Practice Address - Street 1:820 S BECKHAM AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1904
Practice Address - Country:US
Practice Address - Phone:903-531-4848
Practice Address - Fax:903-531-5800
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80743133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered