Provider Demographics
NPI:1871176172
Name:NIELSEN, SARAH (NBC-HWC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 GROVE BLVD APT 102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-3470
Mailing Address - Country:US
Mailing Address - Phone:254-424-5582
Mailing Address - Fax:
Practice Address - Street 1:1201 GROVE BLVD APT 102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-3470
Practice Address - Country:US
Practice Address - Phone:254-424-5582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174H00000XOther Service ProvidersHealth Educator