Marilyn C. Wadum in Omaha - Dietitian, Registered

Marilyn C. Wadum - NPI 1619172913

Marilyn C. Wadum is a Dietitian, Registered in Omaha, Nebraska. Marilyn C. Wadum practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Marilyn C. Wadum is 1619172913. The last update date is 2007-07-08.

Marilyn C. Wadum's current location address is 5506 S 104th Cir, Omaha, Nebraska. You can contact this provider via phone number 4025923610. The mailing address for Marilyn C. Wadum is 5506 S 104th Cir, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Marilyn C. Wadum
Address 5506 S 104th Cir, Omaha, Nebraska
Phone Number 4025923610
Fax Number
Sole Proprietor N
Credentials RD, LMNT

NPI Number Detail

NPI Number 1619172913
Provider Enumeration Date 2007-06-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5506 S 104th Cir
City Omaha
State Nebraska (NE)
Post Code 681273036
Phone Number 4025923610
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 183
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
183 NE RD LICENSE

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FAQs about Marilyn C. Wadum

What is the unique 10-digit identification code issued to Marilyn C. Wadum by the Centers for Medicare & Medicaid Services?

The Marilyn C. Wadum has been assigned the NPI (National Provider Identifier) 1619172913 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Marilyn C. Wadum is physically located?

The Marilyn C. Wadum is situated at the following address: 5506 S 104Th Cir, Omaha, NE 681273036.

What is Marilyn C. Wadum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Marilyn C. Wadum is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.

On what date did the Marilyn C. Wadum receive its 1619172913 assignment from the Centers for Medicare & Medicaid Services?

The Marilyn C. Wadum was assigned its 1619172913 by the Centers for Medicare & Medicaid Services on 2007-06-18.

As of what date were the details related to Marilyn C. Wadum most recently updated or revised?

The information pertaining to Marilyn C. Wadum, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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