NPI 1366918575

Amanda Woodruff, MSRDLD

Practitioner Registered Dietitian Gulfport, MS

Practice location

Address: 4500 13th St, Gulfport, MS 39501-2515
Phone: (228) 865-3167

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Mississippi →

Registry record

NPI: 1366918575
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2018
Record last updated: 16 Oct 2018

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.