NPI 1528317989 · live from the CMS NPI Registry
Susan Carol Haines, RD, LD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1528317989, active.
NPI record
| NPI | 1528317989 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1501 San Pedro Dr Se, Nutrition 120, Albuquerque, NM 87108 |
| Practice phone | 505-265-1711 |
| Mailing address | 1916 Saint St Ne, Albuquerque, NM 87112 |
| Enumerated | August 31, 2012 |
| Last updated | August 1, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2411 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.