Doctor Name: | SARAH E JOHNSON |
NPI Number: | 1003226416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LD |
License Number: | -3355- |
Business Practice Address: | 16830 198th Ave Nw Centracare Clinic - Big Lake Big Lake, MN - 553094860 |
Business Phone Number: | 7632637300 |
Business Fax Number: | 7632637334 |
Mailing Address: | 1406 6th Ave N, St Cloud Hospital SAINT CLOUD |
State: | MN |
Postal Code: | 563031900 |
Phone Number: | 3202512700 |
Fax Number: | 3206567115 |
NPI Enumeration Date: | 05/07/2014 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | -3355- |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |