Healthcare Provider Details

I. General information

NPI: 1760618037
Provider Name (Legal Business Name): SABINA HANSEN R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

31 E DARRAH LN
LAWRENCEVILLE NJ
08648-3763
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-0000
  • Fax:
Mailing address:
  • Phone: 609-403-6190
  • Fax: 609-403-6191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number854518
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number074.0134173
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: