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Individual
KIMBERLY ELLIOTT SADRI
Active
Individual
KIMBERLY ELLIOTT SADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103182
SC
363L00000X
Nurse Practitioner
Primary
21426
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4820
—
SC
01
—
SCB7745019
MEDICARE PIN
SC
Enumeration date
10/25/2017
Last updated
05/13/2026
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