Rebecca Marie Aldag, CNS
Individual provider Active NPI Nutritionist · Neenah, WI
NPI 1003385840 · NPPES record last updated Nov 22, 2018
Key facts
- NPI
- 1003385840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- License
- 16129 (WI)
- Practice address
- 1370 S Commercial St
Neenah, WI 54956-4636 - Phone
- (920) 358-0353
- NPI assigned
- Nov 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16129 | WI | MD | Nutritionist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 16129 | WI | Yes |
Addresses
Primary practice location
1370 S Commercial St
Neenah, WI 54956-4636
Mailing address
419 Kraft St
Neenah, WI 54956-4997
Phone (920) 284-6749
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.