Individual
ERICA WEINANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3221 BEACON PKWY, GRANGER, IN 46530-7196
(574) 647-8460
Mailing address
726 DUBLIN DR, MISHAWAKA, IN 46545-3589
(312) 593-0172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1065650
IL
133V00000X
Registered Dietitian
164.005687
IL
133V00000X
Registered Dietitian
Primary
37002468A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/16/2019
Last updated
04/16/2019
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