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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA GORDILLO, MA, RD, LD

Active Sole Proprietor

AMANDA GORDILLO, MA, RD, LD is a Registered Dietitian healthcare provider located in MISHAWAKA, Indiana. NPI 1134619158 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · MISHAWAKA, IN

Registration Details

NPI Number
1134619158
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2018 (8.2104172290302 yrs)
Last Updated
Dec 8, 2021
License
86015474 (IN)
Sole Proprietor
Yes

Practice Information

Address
2304 TRAILRIDGE S
MISHAWAKA, IN, 465446624
Browse IN providers · Browse ZIP 46544
Phone
5743833542
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in MISHAWAKA, IN

Name Credential NPI
CHRISTINA KAYE SENFF MPA, RD, CD, CDE 1760560114
MRS. TRACY JEANNINE PFAFFENBERGER R.D., C.D. 1306961602
MRS. NIKOLE SUZANNE BARRETT R.D.N., C.D. 1114129046
STEPHANIE TERESE MALLEY RD 1336467612
APRIL LYNN ROOT RD 1497095343
MAYELIN LORA-WILLIAMS RD 1093219008
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.