Linda Jean Allen, RD, CD

Individual provider Active NPI Registered Dietitian · Milwaukee, WI

NPI 1114947496 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114947496
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
5000 W National Ave
Milwaukee, WI 53295-0001
Phone
(414) 384-2000
NPI assigned
Jul 20, 2006
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

5000 W National Ave
Milwaukee, WI 53295-0001

Mailing address

W315S8947 Wigwam Dr
Mukwonago, WI 53149-8895
Phone (262) 363-7441

Other identifiers

IdentifierTypeStateIssuer
R456189OtherADA REGISTRATION NUMBER

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Registered Dietitian in Wisconsin

Sources for this page

Verify at the official NPI Registry.