Provider Demographics
NPI:1093999146
Name:HAAN, SANDI LYNN (RDN,CEDS-C)
Entity type:Individual
Prefix:MRS
First Name:SANDI
Middle Name:LYNN
Last Name:HAAN
Suffix:
Gender:F
Credentials:RDN,CEDS-C
Other - Prefix:MS
Other - First Name:SANDI
Other - Middle Name:LYNN
Other - Last Name:PURDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:156 BAY MEADOWS DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424
Mailing Address - Country:US
Mailing Address - Phone:616-566-2857
Mailing Address - Fax:
Practice Address - Street 1:156 BAY MEADOWS DRIVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424
Practice Address - Country:US
Practice Address - Phone:616-566-2857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI963329133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered