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JOHN H BRADLEY DEPTARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC NPI 1982623534


NPI Information

NPI: 1982623534
Provider Name: JOHN H BRADLEY DEPTARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization

CLIA Number: 52D0988062

Address:
10 TRI-PARKWAY
APPLETON, WI
ZIP 54914
Phone: (920) 831-0070
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JOHN H BRADLEY DEPTARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC is a dietitian registered in Appleton, WI. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. JOHN H BRADLEY DEPTARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC NPI is 1982623534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 TRI-PARKWAY
APPLETON, WI
ZIP 54914
Phone: (920) 831-0070

The provider's authorized official is Deborah Lynn Woelfel .
The authorized official title is Registered Dietitian and has the following contact phone number (920) 831-0070.

The CLIA number assigned to this NPI record is 52D0988062 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered1456029WISCONSINYes

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

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