Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA NELSON, MS, RD, LDN
Active Sole ProprietorPediatric Nutrition · GENEVA, IL
Registration Details
- NPI Number
- 1487925996
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2012 (14.263126202574 yrs)
- Last Updated
- Jan 16, 2012
- License
-
164.005465 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2814 MILLER RDGENEVA, IL, 601343996Browse IL providers · Browse ZIP 60134
- Phone
- 6304798786
- 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.