Provider Demographics
NPI:1861785545
Name:AHNEMAN, WHITNEY BROOKE (MS RD)
Entity type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:BROOKE
Last Name:AHNEMAN
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-1518
Mailing Address - Country:US
Mailing Address - Phone:203-550-1062
Mailing Address - Fax:
Practice Address - Street 1:3 WESTWOOD RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-1518
Practice Address - Country:US
Practice Address - Phone:203-550-1062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered