Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDAN WADLOW
Active Sole ProprietorPediatric Nutrition · PHOENIX, AZ
Registration Details
- NPI Number
- 1063106821
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2023 (2.8971305601427 yrs)
- Last Updated
- Sep 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4410 N 99TH AVE APT 2072PHOENIX, AZ, 850375944Browse AZ providers · Browse ZIP 85037
- Phone
- 9282320764
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MS. MARTHA MAGDELINE DOLENC | RD, CNSD | 1124271622 |
| DR. CINDY KAY SCHNEIDER | MD | 1205194784 |
| JANELLE LASKO | RD | 1740667500 |
| MRS. YVETTE MORELLI GIESEMANN | RD | 1669859427 |
| MS. EVELYN CORONADO | — | 1295259075 |
| COURTNEY DILLON BLISS | MS, RDN, CNSC | 1740708205 |
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.