Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENNINGTON PATRICK WENTWORTH
ActivePediatric Nutrition · MEMPHIS, TN
Registration Details
- NPI Number
- 1265060628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2020 (6.0603932677332 yrs)
- Last Updated
- Mar 31, 2020
- License
-
3795 (TN)
Practice Information
- Address
-
848 ADAMS AVEMEMPHIS, TN, 381032816Browse TN providers · Browse ZIP 38103
- Phone
- 9012875437
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| VIRGINIA CARNEY | — | 1689004160 |
| NICHOLE ALEXANDRA REED | RDN | 1366975500 |
| MRS. KAY ELLEN HALL | RD | 1255817805 |
| MRS. AMANDA ELLEN HELTON | RD, LDN | 1043876386 |
| ASHLEY MARIE KILPATRICK | RD | 1912565300 |
| TARA KARR | MS, RD, LDN | 1881254290 |
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.