Healthcare Provider Details

I. General information

NPI: 1932881372
Provider Name (Legal Business Name): UNITED NUTRITION & DIETETICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 WHITEHAVEN RD
GRAND ISLAND NY
14072-1846
US

IV. Provider business mailing address

PO BOX 831
GRAND ISLAND NY
14072-0831
US

V. Phone/Fax

Practice location:
  • Phone: 716-704-0684
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: TRICIA SAUER
Title or Position: CEO
Credential: RDN
Phone: 716-704-0684