Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER WORTMAN
ActivePediatric Nutrition · ANN ARBOR, MI
Registration Details
- NPI Number
- 1366215121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2023 (2.4656551982741 yrs)
- Last Updated
- Nov 3, 2023
Practice Information
- Address
-
203 BEAKES ST APT 4ANN ARBOR, MI, 481041060Browse MI providers · Browse ZIP 48104
- Phone
- 7345856733
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.