MEDICARE: SABRINA MEYER RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DI60909118	WA

General Provider Information

NPI Number	:	1598234643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA MEYER RDN

Provider Business Mailing Address
First Line	:	5915 S REGAL ST
Second Line	:	STE 005
City	:	SPOKANE
State	:	WA
Zip	:	99223-6024
Country	:	US
Telephone Number	:	509-951-4363
Fax Number	:

Provider Business Practice Location Address
First Line	:	5915 S REGAL ST
Second Line	:	STE 005
City	:	SPOKANE
State	:	WA
Zip	:	99223-6024
Country	:	US
Telephone Number	:	509-951-4363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2018
Last Update Date	:	07/14/2020

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