NPI 1902175045 · live from the CMS NPI Registry
Sarah Bannoura
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1902175045, active.
NPI record
| NPI | 1902175045 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1800 W Charleston Blvd, Las Vegas, NV 89102 |
| Practice phone | 702-383-2000 |
| Enumerated | December 19, 2011 |
| Last updated | December 26, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1074127 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.