Anne Burtness

Individual provider Active NPI Registered Dietitian · Fairbanks, AK

NPI 1013467273 · NPPES record last updated Oct 11, 2016

Key facts

NPI
1013467273
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DTND48 (AK)
Practice address
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone
(907) 451-6682
Fax
(907) 459-3811
NPI assigned
Oct 11, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DTND48 AK Yes

Addresses

Primary practice location

1717 W Cowles St
Fairbanks, AK 99701-5926

Mailing address

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682

Other providers in Fairbanks, AK

All providers in Fairbanks, AK · Registered Dietitian in Alaska

Sources for this page

Verify at the official NPI Registry.