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GWENDOLYN ANN WITTENBROOK MA RD CSP LD NPI 1427432731


NPI Information

NPI: 1427432731
Provider Name: GWENDOLYN ANN WITTENBROOK, MA, RD, CSP, LD
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Individual

Specialization: Nutrition, Pediatric

Address:
2222 WELBORN ST
DIETARY DEPARTMENT
DALLAS, TX
ZIP 75219
Phone: (214) 559-7534
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Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD is a nutrition and pediatric dietitian registered in Dallas, TX. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD NPI is 1427432731. 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:

2222 WELBORN ST
DIETARY DEPARTMENT
DALLAS, TX
ZIP 75219-924
Phone: (214) 559-7534
Fax: (214) 559-8394

The enumeration date for this NPI number is 7/16/2015 and was last updated on 7/16/2015.


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
1133VN1004XDietitian, RegisteredNutrition, PediatricDT05780TEXASYes

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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