Provider Demographics
NPI:1033794854
Name:ANDERSON, ALEXANDRIA CURRAN (MS, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRIA
Middle Name:CURRAN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 HIGHVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-8245
Mailing Address - Country:US
Mailing Address - Phone:774-487-0522
Mailing Address - Fax:
Practice Address - Street 1:6950 SHADY LN
Practice Address - Street 2:
Practice Address - City:SCURRY
Practice Address - State:TX
Practice Address - Zip Code:75158-2831
Practice Address - Country:US
Practice Address - Phone:972-452-2210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT86178133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered