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Individual

ELIZABETH A SANDERS

Active
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Individual

ELIZABETH A SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, RDN, PA-C

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L004347
NC
363A00000X
Physician Assistant
PA200001507
DC
363AM0700X
Medical Physician Assistant
Primary
PA200001507
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86053639
ACADEMY OF NUTRITION AND DIETETICS - RD, RDN
NC
01
L004347
NC BOARD OF DIETETICS/NUTRITION - LDN
NC
01
PA200001507
DC DEPARTMENT OF HEALTH, BOARD OF MEDICINE
DC
Enumeration date
07/28/2014
Last updated
06/28/2023
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