Provider Demographics
NPI:1073100210
Name:STONER, SARAH C (RDN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:STONER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19011 E HOLLOW CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3432
Mailing Address - Country:US
Mailing Address - Phone:531-772-9862
Mailing Address - Fax:
Practice Address - Street 1:19011 E HOLLOW CREEK DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3432
Practice Address - Country:US
Practice Address - Phone:531-772-9862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86288808133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
86288808OtherCDR