Angela Himes Bohne, R.D., LDN, LWMC

Individual provider Active NPI Registered Dietitian · Slidell, LA

NPI 1285742445 · NPPES record last updated Mar 9, 2022

Key facts

NPI
1285742445
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1934 (LA)
Practice address
1700 Lindberg Dr
Slidell, LA 70458-8062
Phone
(985) 661-2146
NPI assigned
Aug 28, 2006
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)
No

State licenses

LicenseStateTypeSpecialty
1934LAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1934 LA Yes

Addresses

Primary practice location

1700 Lindberg Dr
Slidell, LA 70458-8062

Mailing address

405 Holm Oak LN
Mandeville, LA 70471-2653
Phone (504) 261-5235

Other providers in Slidell, LA

All providers in Slidell, LA · Registered Dietitian in Louisiana

Sources for this page

Verify at the official NPI Registry.