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Individual
SARAH ELIZABETH TISDALE
Active
Individual
SARAH ELIZABETH TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, RN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86059396
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86059396
COMMISSION ON DIETETICS REGISTERED
—
01
—
RN.1681616
COLORADO BOARD OF NURSING
CO
01
—
RN95293298
STATE OF CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
11/21/2022
Last updated
11/08/2023
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