MS. GWENDOLYN ANN WREN CACDP NPI 1023374139

NPI Information

NPI: 1023374139
Provider Name: MS. GWENDOLYN ANN WREN, CACDP
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
13336 E WARREN AVE
DETROIT, MI
ZIP 48215
Phone: (313) 822-6940
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MS. Gwendolyn Ann Wren, CACDP is a nutrition and education nutritionist in Detroit, MI. MS. Gwendolyn Ann Wren, CACDP NPI is 1023374139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13336 E WARREN AVE
DETROIT, MI
ZIP 48215-112
Phone: (313) 822-6940

The enumeration date for this NPI number is 4/3/2012 and was last updated on 4/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			No
2	133NN1002X	Nutritionist	Nutrition, Education	133N1002X	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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