NPI 1740915800

Samantha Leigh White, MCNRDN

Practitioner Registered Dietitian Sundance, WY

Practice location

Address: 713 E Oak St, Sundance, WY 82729-5172
Phone: (307) 283-3501
Fax: (307) 283-3506
Mailing address: PO Box 1134, Sundance, WY 82729-1134

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86172305 (CO)

Other Dietitian, Registered providers in Wyoming →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 431 (WY)

Registry record

NPI: 1740915800
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2022
Record last updated: 9 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.