MEDICARE: ANNA GABRIELA BOSWELL RDN, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	ND9619	FL

General Provider Information

NPI Number	:	1366230351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA GABRIELA BOSWELL RDN, LDN

Provider Business Mailing Address
First Line	:	8593 WAKEFIELD DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6363
Country	:	US
Telephone Number	:	210-863-0039
Fax Number	:

Provider Business Practice Location Address
First Line	:	8593 WAKEFIELD DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6363
Country	:	US
Telephone Number	:	210-863-0039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	11/20/2025

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