MEDICARE: ALESSANDRA ANDERSON RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist	164.023384	IL
2	133N00000X	Nutritionist	LDN7838	MA

General Provider Information

NPI Number	:	1184432791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALESSANDRA ANDERSON RDN

Provider Business Mailing Address
First Line	:	10 WESTON AVE APT 203
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02170-1841
Country	:	US
Telephone Number	:	310-913-3019
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 WESTON AVE APT 203
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02170-1841
Country	:	US
Telephone Number	:	310-913-3019
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2024
Last Update Date	:	01/06/2026

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Directions to “ ALESSANDRA ANDERSON RDN” Practice Location

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