Provider Demographics
NPI:1962284372
Name:SANGER, KATIE (RDN)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:SANGER
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 1:11630 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-9446
Mailing Address - Country:US
Mailing Address - Phone:760-801-5876
Mailing Address - Fax:
Practice Address - Street 1:11630 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-9446
Practice Address - Country:US
Practice Address - Phone:760-801-5876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered