Provider Demographics
NPI:1831436237
Name:SAUER, TRICIA E (CERT DIETITIAN-NUTR)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:E
Last Name:SAUER
Suffix:
Gender:F
Credentials:CERT DIETITIAN-NUTR
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:E
Other - Last Name:MINOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CERT DIETITIAN-NUTR
Mailing Address - Street 1:PO BOX 831
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-0831
Mailing Address - Country:US
Mailing Address - Phone:716-704-0684
Mailing Address - Fax:716-625-1236
Practice Address - Street 1:1990 WHITEHAVEN RD UPPR
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NY
Practice Address - Zip Code:14072-1846
Practice Address - Country:US
Practice Address - Phone:716-704-0684
Practice Address - Fax:716-625-1236
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
NY006660133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty