Individual provider · Type 1 NPI

Sadie Wallace

Registered Dietitian · Fayetteville, AR

NPI number 1992672299 Active

Practice location

909 S Hollywood Ave
Fayetteville, AR 72701-6245

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1992672299

Sadie Wallace's National Provider Identifier is 1992672299, issued on Oct 21, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 21, 2025.