Doctor Name: | DR. SUSAN N HANSEN |
NPI Number: | 1194952770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD/LN,PHD |
License Number: | 0514 |
Business Practice Address: | 113 Comanche Rd Fort Meade, SD - 577411002 |
Business Phone Number: | 6057207090 |
Business Fax Number: | 6057207012 |
Mailing Address: | 113 Comanche Rd, FORT MEADE |
State: | SD |
Postal Code: | 577411002 |
Phone Number: | 6054691170 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2009 |
NPI Last Update Date: | 06/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 0514 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
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 |