Provider Demographics
NPI:1932910254
Name:ALBARADO, SYDNEY KATHLEEN (RD)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:KATHLEEN
Last Name:ALBARADO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 S PLUM ST
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:WI
Mailing Address - Zip Code:54011-9171
Mailing Address - Country:US
Mailing Address - Phone:715-441-0198
Mailing Address - Fax:
Practice Address - Street 1:259 S PLUM ST
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:WI
Practice Address - Zip Code:54011-9171
Practice Address - Country:US
Practice Address - Phone:715-441-0198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI86346124133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty