Erica L Walworth in Fort Wayne - Dietitian, Registered
Erica L Walworth - NPI 1336255801
Erica L Walworth is a Dietitian, Registered in Fort Wayne, Indiana. Erica L Walworth practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Erica L Walworth is 1336255801. The last update date is 2019-08-15.
Erica L Walworth's current location address is 11330 Eagle Crest Trl, Fort Wayne, Indiana. You can contact this provider via phone number 2604899009 and fax number 2604895057. The mailing address for Erica L Walworth is 11330 Eagle Crest Trl, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Erica L Walworth |
---|---|
Address | 11330 Eagle Crest Trl, Fort Wayne, Indiana |
Phone Number | 2604899009 |
Fax Number | 2604895057 |
Sole Proprietor | N |
Credentials | MS LMFT CE |
NPI Number Detail
NPI Number | 1336255801 |
---|---|
Provider Enumeration Date | 2006-08-21 |
Last Updated Date | 2019-08-15 |
Provider Mailing Address Detail
Address | 11330 Eagle Crest Trl |
---|---|
City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468451186 |
Phone Number | 2604899009 |
Fax Number | 2604895057 |
Provider's Primary Taxonomy Detail
Speciality | Dietitian, Registered |
---|---|
Taxonomy | 133V00000X |
Licence No | 37001673A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
893263 | AMERICAN DIETETIC ASSOCIA | ||
893263 | CDR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Erica L Walworth?
The Erica L Walworth has been issued the NPI (National Provider Identifier) 1336255801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Erica L Walworth is geographically located?
The Erica L Walworth is physically situated at the following location: 11330 Eagle Crest Trl, Fort Wayne, IN, 468451186.
What is Erica L Walworth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Erica L Walworth's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336255801 to Erica L Walworth?
The Erica L Walworth received its 1336255801 assignment from the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the details related to Erica L Walworth most recently updated or revised?
The information pertaining to Erica L Walworth, including its address, specialty, and other relevant details, was last updated or revised on 2019-08-15.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL