Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIERRA JACQUELYNN WINEINGER, REGISTERED DIETITIAN
ActivePediatric Nutrition · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1770104283
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2020 (5.9617563710003 yrs)
- Last Updated
- May 3, 2023
- License
-
LRD2062RD (SC)
Practice Information
- Address
-
920 DOUG WHITE DR STE 420MYRTLE BEACH, SC, 295724182Browse SC providers · Browse ZIP 29572
- Phone
- 8433535360
- Fax
- 8433535363
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
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.