Whalio Doctors

NPI 1023374139

Gwendolyn Ann Wren, CACDP

Practitioner Nutrition Education Nutritionist Detroit, MI

Practice location

Address
13336 E Warren Ave, Detroit, MI 48215-2112
Phone
(313) 822-6940
Mailing address
2459 Parker St, Detroit, MI 48214-1824

Registered specialties (2)

Nutrition Education Nutritionist Primary
Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 133N1002X (MI)
Nutrition Education Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Registry record

NPI
1023374139
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Apr 2012
Record last updated
3 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.