Wendy Lea Walker, NTP

Individual provider Active NPI Nutrition Education Nutritionist · Eustis, FL

NPI 1750114682 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1750114682
Entity type
Individual (NPI type 1)
Primary specialty
Nutrition Education Nutritionist 133NN1002X
Practice address
37921 North CR 44a
Eustis, FL 32736
Phone
(352) 391-4060
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
Yes

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
Health & Wellness Coach
Group: 193200000X MULTI-SPECIALTY GROUP
171400000X FL
Nutrition Education Nutritionist
Group: 193200000X MULTI-SPECIALTY GROUP
133NN1002X FL Yes

Addresses

Primary practice location

37921 North CR 44a
Eustis, FL 32736

Mailing address

37921 North CR 44a
Eustis, FL 32736

Other providers in Eustis, FL

All providers in Eustis, FL · Nutrition Education Nutritionist in Florida

Sources for this page

Verify at the official NPI Registry.