Provider Demographics
NPI:1265204903
Name:ANIEL, CHRISTEN ANNE LIM (RD)
Entity type:Individual
Prefix:
First Name:CHRISTEN ANNE
Middle Name:LIM
Last Name:ANIEL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 S 980 W
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-5204
Mailing Address - Country:US
Mailing Address - Phone:904-510-9363
Mailing Address - Fax:
Practice Address - Street 1:550 FOOTHILL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113-1106
Practice Address - Country:US
Practice Address - Phone:801-924-6818
Practice Address - Fax:801-924-6811
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT136010494901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered