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Contact Information

SARAH E TISDALE, RD, RN
235 PALISADE DRIVE
SANTA MARIA, CA93454
 Phone: 805-739-3561
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SARAH E TISDALE · (Female)

NPI # 1407565252
Status Active
Credentials RD, RN
Entity Individual
Enumeration date 11/21/2022
Last updated 11/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • License # 86059396
  • Other 86059396 COMMISSION ON DIETETICS REGISTERED
  • CA Other RN95293298 STATE OF CALIFORNIA BOARD OF REGISTERED NURSING
  • CO Other RN.1681616 COLORADO BOARD OF NURSING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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