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Laverne A Sullivan, RD
Registered Dietitian in Fort Wayne, Indiana
NPI 1023045200

Laverne A Sullivan is a Registered Dietitian based in Newburgh, IN. Laverne A Sullivan practices in Fort Wayne, IN and has the professional credentials of RD. The NPI Number for Laverne A Sullivan is 1023045200 and holds a License No. 37000748A (Indiana).

The current practice location address for Laverne A Sullivan is 4210 Flagstaff Cv, Fort Wayne, IN and can be reached out via phone at 260-489-9009 and via fax at 260-489-5057.

Location: 4210 Flagstaff Cv, Fort Wayne, IN, 47630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023045200
Provider Name
Laverne A Sullivan
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
4210 Flagstaff Cv, Fort Wayne, IN, 47630
Phone Number
260-489-9009
Fax Number
260-489-5057
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4210 Flagstaff Cv
City
Fort Wayne
State
Indiana
Zip
46815-4417
Phone Number
260-489-9009
Fax Number
260-489-5057
person
Provider Business Mailing Address Details
Address
4210 Flagstaff Cv
City
Fort Wayne
State
Indiana
Zip
46815-4417
Phone Number
260-489-9009
Fax Number
260-489-5057
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
37000748A (Indiana)
Definition
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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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