Provider Demographics
NPI:1295598712
Name:HORNBY, ALYSON L (RDN, LDN)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:L
Last Name:HORNBY
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 FLORIDA CLUB CIR APT 2205
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-8722
Mailing Address - Country:US
Mailing Address - Phone:608-520-5721
Mailing Address - Fax:
Practice Address - Street 1:3531 BONITA BAY BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-1704
Practice Address - Country:US
Practice Address - Phone:239-676-5249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND12807133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered