Individual
ELIZABETH A SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, RDN, PA-C
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 715-4000
Mailing address
1100 NEW JERSEY AVE SE STE 500, WASHINGTON, DC 20003-3326
(724) 396-6921
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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