Individual
ALEXANDRA ANN VAN DER MERWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2885 N OLIVER ST, WICHITA, KS 67220-2986
(630) 945-5397
Mailing address
2885 N OLIVER ST, WICHITA, KS 67220-2986
(630) 945-5397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3107
KS
133V00000X
Registered Dietitian
Primary
86212389
—
133V00000X
Registered Dietitian
DT87716
TX
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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