Janice M Antoniewicz-Werner, CD
Individual provider Active NPI Registered Dietitian · Madison, WI
NPI 1790741288 · NPPES record last updated Aug 9, 2007
Key facts
- NPI
- 1790741288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 455-029 (WI)
- Practice address
- 1313 Fish Hatchery Rd
Dean Medical Center
Madison, WI 53715-1911 - Phone
- (608) 252-8000
- Fax
- (608) 252-8245
- NPI assigned
- Apr 24, 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 455 | WI | MD | Cognitive & Behavioral Psychologist |
| 455-029 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 455-029 | WI | Yes |
Addresses
Primary practice location
1313 Fish Hatchery Rd
Dean Medical Center
Madison, WI 53715-1911
Mailing address
1313 Fish Hatchery Rd
Dean Medical Center
Madison, WI 53715-1911
Phone (608) 252-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 715 | Other | WI | DEAN HEALTH INSURANCE |
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- Margaret Louise Anunson
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All providers in Madison, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2007. 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.