NPI 1609376136 · live from the CMS NPI Registry
Sarah A Anzlovar, RDN
Dietitian, Registered in Medfield, MA. National Provider Identifier 1609376136, active.
NPI record
| NPI | 1609376136 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 110 Elm St, Medfield, MA 02052 |
| Practice phone | 774-469-0505 |
| Mailing address | 163 Highland Ave # 1061, Needham, MA 02494 |
| Enumerated | February 21, 2018 |
| Last updated | October 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | 3527 (MA) |
| Nutritionist, Nutrition, Education | 133NN1002X | 3527 (MA) |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | 3527 (MA) |
| Dietitian, Registered primary | 133V00000X | 3527 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.