SearchIndianaRegistered Dietitian

Laverne Sullivan, RD

NPI 1023045200 · on the registry since 2006

Practice

Address
4210 Flagstaff Cv
Fort Wayne, IN 46815
Phone
(260) 489-9009
Fax
(260) 489-5057
Organisation at this address
Kindred Angels Llc
Medical Nutritional Therapists, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana