Healthcare Provider Details

I. General information

NPI: 1619593951
Provider Name (Legal Business Name): HANNAH DEANNE SEXTON MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 FALCON TRCE UNIT C-331
BOONE NC
28607-8313
US

IV. Provider business mailing address

155 FALCON TRCE UNIT C-331
BOONE NC
28607-8313
US

V. Phone/Fax

Practice location:
  • Phone: 980-297-2231
  • Fax:
Mailing address:
  • Phone: 980-297-2231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86150849
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: