Individual
BRANDI WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN, CPT
Contact information
Practice address
53 E PATRICK ST, FREDERICK, MD 21701-5673
(301) 276-0413
(240) 771-0715
Mailing address
100 MIDDLETOWN PARKWARY, UNIT 202, MIDDLETOWN, MD 21769-7904
(301) 276-0413
(240) 771-0715
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN008941
PA
133N00000X
Nutritionist
DX7061
MD
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
06/27/2025
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