Marillen L Wells in Mount Vernon - Dietitian, Registered
Marillen L Wells - NPI 1619989555
Marillen L Wells is a Dietitian, Registered in Mount Vernon, Illinois. Marillen L Wells practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Marillen L Wells is 1619989555. The last update date is 2023-11-04.
Marillen L Wells's current location address is 3307 Broadway St, Mount Vernon, Illinois. You can contact this provider via phone number 6182447200 and fax number 6182447274. The mailing address for Marillen L Wells is 3307 Broadway St, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marillen L Wells |
|---|---|
| Address | 3307 Broadway St, Mount Vernon, Illinois |
| Phone Number | 6182447200 |
| Fax Number | 6182447274 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619989555 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2023-11-04 |
Provider Mailing Address Detail
| Address | 3307 Broadway St |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642347 |
| Phone Number | 6182447200 |
| Fax Number | 6182447274 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 810868 | IL | CDR |
Post Comment/ Review Below
What is the unique identifier code issued to Marillen L Wells by the Centers for Medicare & Medicaid Services (CMS)?
The Marillen L Wells has been assigned the NPI (National Provider Identifier) 1619989555. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Marillen L Wells is geographically located?
The Marillen L Wells is physically situated at the following location: 3307 Broadway St, Mount Vernon, IL, 628642347.
What is Marillen L Wells's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marillen L Wells is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date did the Marillen L Wells receive its 1619989555 assignment from the Centers for Medicare & Medicaid Services?
The Marillen L Wells was assigned its 1619989555 by the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date were the Marillen L Wells's details last updated?
The information pertaining to the Marillen L Wells, including its address, specialty, and other details, was most recently updated on 2023-11-04.