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NPI Code Detail

MEDICARE: ELIZABETH ANN WEINANDY RD

MEDICARE: ELIZABETH ANN WEINANDY RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianLD4494OH

General Provider Information

NPI Number : 1508821141
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN WEINANDY RD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-8155
Fax Number : 614-293-3565
Provider Business Practice Location Address
First Line : 181 TAYLOR AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1779
Country : US
Telephone Number : 614-293-8155
Fax Number : 614-293-3565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 01/21/2025

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Directions to “ ELIZABETH ANN WEINANDY RD” Practice Location

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