NPI 1184096729 · live from the CMS NPI Registry
Sandra Lee Blake, RD, LD
Dietitian, Registered in Saint Paul, MN. National Provider Identifier 1184096729, active.
NPI record
| NPI | 1184096729 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 45 10th St W, Nutrition Services G447, Saint Paul, MN 55102 |
| Practice phone | 651-232-3463 |
| Enumerated | October 22, 2015 |
| Last updated | October 22, 2015 |
| Sole proprietor | No |
| Other names | Sandra Fait |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1424 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.