Provider Demographics
NPI:1972119444
Name:SARDONE, ROXANNE (RDN)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:SARDONE
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 1:2629 W MAIN ST STE 130
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4611
Mailing Address - Country:US
Mailing Address - Phone:720-319-8384
Mailing Address - Fax:
Practice Address - Street 1:2629 W MAIN ST STE 130
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4611
Practice Address - Country:US
Practice Address - Phone:720-319-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered