Provider Demographics
NPI:1598234643
Name:MEYER, SABRINA (RDN)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:MEYER
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 1:5915 S REGAL ST
Mailing Address - Street 2:STE 005
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-6024
Mailing Address - Country:US
Mailing Address - Phone:509-951-4363
Mailing Address - Fax:
Practice Address - Street 1:5915 S REGAL ST
Practice Address - Street 2:STE 005
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-6024
Practice Address - Country:US
Practice Address - Phone:509-951-4363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60909118133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered