Healthcare Provider Details

I. General information

NPI: 1467566232
Provider Name (Legal Business Name): FRANCES XAVIER SAWYER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NUTRITION AND FOOD SERVICE (120) PERRY POINT VAMC
PERRY POINT MD
21902
US

IV. Provider business mailing address

489 WINDEMERE DR
ABERDEEN MD
21001-1826
US

V. Phone/Fax

Practice location:
  • Phone: 410-642-2411
  • Fax: 410-642-1849
Mailing address:
  • Phone: 410-272-1648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberD00919
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: