NPI 1740915800 · live from the CMS NPI Registry
Samantha Leigh White, MCN, RDN
Dietitian, Registered in Sundance, WY. National Provider Identifier 1740915800, active.
NPI record
| NPI | 1740915800 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 713 E Oak St, Sundance, WY 82729 |
| Practice phone | 307-283-3501 |
| Mailing address | Po Box 1134, Sundance, WY 82729 |
| Enumerated | July 21, 2022 |
| Last updated | December 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 431 (WY) |
| Dietitian, Registered primary | 133V00000X | 86172305 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.