# CAITLIN WADDLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205218872
- **Gender:** F
- **Credential:** MS, RDN, LD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | LD004395 | GA | — |
| 133NN1002X | Nutrition Education Nutritionist | LD004395 | GA | — |
| 133V00000X | Registered Dietitian | LD004395 | GU | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | LD004395 | GA | Yes |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 06/12/2023
