Healthcare Provider Details

I. General information

NPI: 1013838671
Provider Name (Legal Business Name): ANGELINE MARIE RANN RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W MAIN ST UNIT G2
SALUNGA PA
17538-1109
US

IV. Provider business mailing address

964 MARTIN AVE
EPHRATA PA
17522-1322
US

V. Phone/Fax

Practice location:
  • Phone: 717-435-1311
  • Fax:
Mailing address:
  • Phone: 717-208-0630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: