Healthcare Provider Details

I. General information

NPI: 1689445769
Provider Name (Legal Business Name): SARAH LINETTE CUFFEE RD, CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E LITTLE CREEK RD APT 101
NORFOLK VA
23505-2765
US

IV. Provider business mailing address

415 E LITTLE CREEK RD APT 101
NORFOLK VA
23505-2765
US

V. Phone/Fax

Practice location:
  • Phone: 757-785-8565
  • Fax:
Mailing address:
  • Phone: 757-785-8565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86358195
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: