Sandra Marie Burwell, RD LMNT

Individual provider Active NPI Registered Dietitian · David City, NE

NPI 1912469123 · NPPES record last updated Apr 5, 2019

Key facts

NPI
1912469123
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
452 (NE)
Practice address
372 S 9TH St
David City, NE 68632-2116
Phone
(402) 367-1391
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
452NEMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 452 NE Yes

Addresses

Primary practice location

372 S 9TH St
David City, NE 68632-2116

Mailing address

372 S 9TH St
David City, NE 68632-2116
Phone (402) 367-1391

Other names

  • Sandra Marie Cyza Former name

Other providers in David City, NE

All providers in David City, NE · Registered Dietitian in Nebraska

Sources for this page

Verify at the official NPI Registry.