NPI 1104912757 · live from the CMS NPI Registry
Sandra Js Anderson, R.D.
Dietitian, Registered in Waipahu, HI. National Provider Identifier 1104912757, active.
NPI record
| NPI | 1104912757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 94-824 Kaaholo St, Waipahu, HI 96797 |
| Practice phone | 808-677-0596 |
| Mailing address | 94-824 Kaaholo Street, Waipahu, HI 96797 |
| Enumerated | October 4, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 574596 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.