NPI 1780170688 · live from the CMS NPI Registry
Andrea Jean Hanson, MS, RDN, LN
Dietitian, Registered in Sioux Falls, SD. National Provider Identifier 1780170688, active.
NPI record
| NPI | 1780170688 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1325 S Cliff Ave Ofc 1504a, Sioux Falls, SD 57105 |
| Practice phone | 605-322-1194 |
| Mailing address | 514 S Lakota Ave, Brandon, SD 57005 |
| Enumerated | July 3, 2018 |
| Last updated | July 3, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0630 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.