Van Wootten, Wendy
Van Wootten, Wendy is an individual health care provider with primary practice located at 6900 N Pecos Rd , North Las Vegas NV 89086-4400. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Van Wootten, Wendy can be contacted via phone (702) 464-3381.Contact Information
Primary practice address
6900 N Pecos Rd
North Las Vegas NV 89086-4400
Phone: (702) 464-3381
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1336129105 |
|---|---|
| LBN Legal business name | Van Wootten, Wendy |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Aug 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336129105 | NPPES |
| Other | 857947 | CDR | |
| Other | 857947 | CDR |
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