| Doctor Name: | SARA BURNETT |
| NPI Number: | 1679787568 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | 709319 NATL REGISTR. |
| Business Practice Address: | Whmc 959 Mdts Mtn 2200 Bergquist Drive, Suite 1 Lackland Afb, TX - 782369908 |
| Business Phone Number: | 2102927341 |
| Business Fax Number: | 2102927826 |
| Mailing Address: | 121 Vinsant Cir, BROOKS CITY-BASE |
| State: | TX |
| Postal Code: | 782351015 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 709319 NATL REGISTR. |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |