Provider Demographics
NPI:1689445769
Name:CUFFEE, SARAH LINETTE (RD, CPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LINETTE
Last Name:CUFFEE
Suffix:
Gender:F
Credentials:RD, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E LITTLE CREEK RD APT 101
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-2765
Mailing Address - Country:US
Mailing Address - Phone:757-785-8565
Mailing Address - Fax:
Practice Address - Street 1:415 E LITTLE CREEK RD APT 101
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-2765
Practice Address - Country:US
Practice Address - Phone:757-785-8565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA86358195133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered