Provider Demographics
NPI:1740420793
Name:BAKER ROBBINS, SARA DIAN (RD)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:DIAN
Last Name:BAKER ROBBINS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6012 ZIMMERMAN AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-5923
Mailing Address - Country:US
Mailing Address - Phone:505-400-7522
Mailing Address - Fax:
Practice Address - Street 1:6012 ZIMMERMAN AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-5923
Practice Address - Country:US
Practice Address - Phone:505-400-7522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered