Provider Demographics
NPI:1588392807
Name:POSLUSZNY, HANNAH ROSE (RDN)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ROSE
Last Name:POSLUSZNY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3437 N DRUID HILLS RD APT J
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3721
Mailing Address - Country:US
Mailing Address - Phone:609-240-8139
Mailing Address - Fax:
Practice Address - Street 1:3437 N DRUID HILLS RD APT J
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3721
Practice Address - Country:US
Practice Address - Phone:609-240-8139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
86155048133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered