Doctor Name: | SARA MAE ENGBERG |
NPI Number: | 1679812309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LN |
License Number: | 963112 |
Business Practice Address: | 900 N Orange St Ste 303 Missoula, MT - 598022956 |
Business Phone Number: | 4063292602 |
Business Fax Number: | 4063273331 |
Mailing Address: | 1541 Cornerstone Dr, MISSOULA |
State: | MT |
Postal Code: | 598028611 |
Phone Number: | 4063292602 |
Fax Number: | 4063273331 |
NPI Enumeration Date: | 01/31/2013 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 963112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |