NPI 1194952770 · live from the CMS NPI Registry
Susan N Hansen, RD/LN,PhD
Dietitian, Registered in Fort Meade, SD. National Provider Identifier 1194952770, active.
NPI record
| NPI | 1194952770 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 113 Comanche Rd, Fort Meade, SD 57741 |
| Practice phone | 605-720-7090 |
| Enumerated | June 22, 2009 |
| Last updated | June 10, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0514 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.