NPI 1710282678

Diane K Walker, RNCDE

Practitioner Registered Dietetic Technician Crandon, WI

Practice location

Address: 3144 Vanzile Road, Crandon, WI 54520-0275
Phone: (715) 478-5180
Fax: (715) 478-5904
Mailing address: 1 N Hill Road, Wausau, WI 54403

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 90435 30 (WI)

Other Dietetic Technician, Registered providers in Wisconsin →

Registry record

NPI: 1710282678
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2011
Record last updated: 24 Jan 2011

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.