Provider Demographics
NPI:1053076612
Name:DURAND, SARAH JENNIFER (RDN)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JENNIFER
Last Name:DURAND
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WHARF RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-4231
Mailing Address - Country:US
Mailing Address - Phone:401-654-9268
Mailing Address - Fax:401-361-0700
Practice Address - Street 1:15 WHARF RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-4231
Practice Address - Country:US
Practice Address - Phone:401-654-9268
Practice Address - Fax:401-361-0700
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-08
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN01159133V00000X
AR2179133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered