Provider Demographics
NPI:1649684770
Name:VOEGTLE, SARAH (RD, LDN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:VOEGTLE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:MAMMARELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 BREWSTER BLVD
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:CAMP LEJEUNE
Mailing Address - State:NC
Mailing Address - Zip Code:28547-2538
Mailing Address - Country:US
Mailing Address - Phone:910-450-3095
Mailing Address - Fax:910-450-4452
Practice Address - Street 1:3240 BURNT MILL DR STE 1
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2570
Practice Address - Country:US
Practice Address - Phone:910-790-9500
Practice Address - Fax:910-796-8111
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003909133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered