Healthcare Provider Details

I. General information

NPI: 1134691231
Provider Name (Legal Business Name): DANA ANNE ZURCHIN MS, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2018
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N WILLSON AVE STE 602F-3
BOZEMAN MT
59715-3551
US

IV. Provider business mailing address

3062 SUN DEW LN
BOZEMAN MT
59718-7344
US

V. Phone/Fax

Practice location:
  • Phone: 412-526-6398
  • Fax:
Mailing address:
  • Phone: 412-526-6398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number66771
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: