Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNE D WAKERLY, RD,LDN
ActiveNutrition, Education · BROCKTON, MA
Registration Details
- NPI Number
- 1043508112
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2011 (14.81926543588 yrs)
- Last Updated
- Jul 11, 2011
- License
-
3059 (MA)
Practice Information
- Address
-
680 CENTRE STBROCKTON, MA, 023023308Browse MA providers · Browse ZIP 02302
- Phone
- 5089417253
- Fax
- 5089416337
- Primary Specialty
-
Nutrition, Education
133NN1002X
Other Nutrition, Education Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| SANDRA A AMBROSE | NUTRITIONIST | 1407918758 |
| KAREN SYBERTZ | — | 1295866929 |
| LAUREN E STONE | RD,LDN | 1952699035 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.