Healthcare Provider Details

I. General information

NPI: 1871650184
Provider Name (Legal Business Name): ANNA MARIE LOVEN MS,RD,LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 LOCUST ST.
NORTHAMPTON MA
01061-5001
US

IV. Provider business mailing address

230 RESERVOIR RD
WESTHAMPTON MA
01027-9613
US

V. Phone/Fax

Practice location:
  • Phone: 413-582-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number517
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: