Healthcare Provider Details

I. General information

NPI: 1558231977
Provider Name (Legal Business Name): DAWN ANDERSON NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE 7395
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

5327 CHAMBERLAYNE RD UNIT 15116
RICHMOND VA
23227-9998
US

V. Phone/Fax

Practice location:
  • Phone: 804-602-2665
  • Fax:
Mailing address:
  • Phone:
  • 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: DAWN ANDERSON
Title or Position: OWNER
Credential: MS, RD, LD
Phone: 804-304-4312