Healthcare Provider Details

I. General information

NPI: 1043750649
Provider Name (Legal Business Name): ANNA M VANDERSTELT-FRANK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2017
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10505 TOPIARY DR
BAKERSFIELD CA
93306-7809
US

IV. Provider business mailing address

10505 TOPIARY DR
BAKERSFIELD CA
93306-7809
US

V. Phone/Fax

Practice location:
  • Phone: 661-472-0650
  • Fax:
Mailing address:
  • Phone: 661-472-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number150170894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: