Individual provider · Type 1 NPI

Laverne A. Sullivan, RD

Registered Dietitian · Fort Wayne, IN

NPI number 1023045200 Active

Practice location

4210 Flagstaff Cv
Fort Wayne, IN 46815-4417

Call (260) 489-9009 Map

Fax (260) 489-5057

Mailing address

5244 Jeffries Lane
Newburgh, IN 47630

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X37000748A (IN)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1023045200

Laverne A. Sullivan, RD's National Provider Identifier is 1023045200, issued on Jun 26, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 1, 2014.