Individual
ADRIENNE S WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
501 S MADISON ST STE 105, BLOOMINGTON, IN 47403-2452
(812) 929-2193
(888) 789-8394
Mailing address
5010 N STONE MILL RD STE B, BLOOMINGTON, IN 47408-9320
(812) 929-2193
(888) 789-8394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002322A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26-3890332
—
IN
Enumeration date
03/26/2022
Last updated
03/26/2022
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