Provider Demographics
NPI:1619425063
Name:NASH, SARAH (RD, LDN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:NASSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:106 S RIDGELAND AVE APT 401
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-4617
Mailing Address - Country:US
Mailing Address - Phone:413-559-0055
Mailing Address - Fax:
Practice Address - Street 1:106 S RIDGELAND AVE APT 401
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-4617
Practice Address - Country:US
Practice Address - Phone:413-559-0055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005942133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered