Individual
MARILYN C. WADUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LMNT
Contact information
Practice address
8601 W DODGE RD, SUITE # 30, OMAHA, NE 68114-3457
(402) 354-8797
(402) 354-5651
Mailing address
5506 S 104TH CIR, OMAHA, NE 68127-3036
(402) 592-3610
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
183
NE
133V00000X
Registered Dietitian
183
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183
RD LICENSE
NE
Enumeration date
06/18/2007
Last updated
09/11/2025
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