Provider Demographics
NPI:1235601600
Name:NOWELL, SARAH ANNE (MS, RDN, CDN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:NOWELL
Suffix:
Gender:F
Credentials:MS, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 W 149TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-3439
Mailing Address - Country:US
Mailing Address - Phone:214-725-1706
Mailing Address - Fax:
Practice Address - Street 1:561 W 149TH ST APT 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-3439
Practice Address - Country:US
Practice Address - Phone:214-725-1706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009667133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered