Provider Demographics
NPI:1275600819
Name:VAN RIET, SARAH E (RD, CDE, LN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:VAN RIET
Suffix:
Gender:F
Credentials:RD, CDE, LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5034 MARATHON DRIVE
Mailing Address - Street 2:UWMF HEALTH EDUCATION
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-4713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5034 MARATHON DRIVE
Practice Address - Street 2:UWMF HEALTH EDUCATION
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-4713
Practice Address - Country:US
Practice Address - Phone:608-287-2770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1473-29133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered