Provider Demographics
NPI:1053885665
Name:SARNQUIST, BRET HILDING (RD LD)
Entity type:Individual
Prefix:
First Name:BRET
Middle Name:HILDING
Last Name:SARNQUIST
Suffix:
Gender:M
Credentials:RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 MEDICAL PARKWAY
Mailing Address - Street 2:CLINICAL NUTRITION DEPARTMENT, CARSON TAHOE HEALTH
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703
Mailing Address - Country:US
Mailing Address - Phone:775-445-8884
Mailing Address - Fax:775-888-3220
Practice Address - Street 1:1600 MEDICAL PARKWAY
Practice Address - Street 2:CLINICAL NUTRITION DEPARTMENT, CARSON TAHOE HEALTH
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703
Practice Address - Country:US
Practice Address - Phone:775-445-8884
Practice Address - Fax:775-888-3220
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV39475-DI-0133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered