Healthcare Provider Details

I. General information

NPI: 1790601615
Provider Name (Legal Business Name): SARAH ANN MASON MPH, RDN, SNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1452 S HIDDEN CREEK DR
SALINE MI
48176-9024
US

IV. Provider business mailing address

1452 S HIDDEN CREEK DR
SALINE MI
48176-9024
US

V. Phone/Fax

Practice location:
  • Phone: 480-620-5372
  • Fax:
Mailing address:
  • Phone: 480-620-5372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86330755
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: