Individual
MS. AMY LYNN WILCOXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1600 ROCKLAND ROAD, AIDHC NUTRITION SERVICES, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-4737
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN0000351
DE
133VN1004X
Pediatric Nutrition Registered Dietitian
DN0000351
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418570600
—
MD
Enumeration date
09/04/2009
Last updated
01/05/2012
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