Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MINDY LEE WALLACE, RD LDN
ActiveMS. MINDY LEE WALLACE, RD LDN is a Registered Dietitian healthcare provider located in QUINCY, Illinois. NPI 1851305304 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · QUINCY, IL
Registration Details
- NPI Number
- 1851305304
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2006 (20.010869196136 yrs)
- Last Updated
- Sep 22, 2008
- Licenses
-
164003636 (IL)2005004105 (MO)
Practice Information
- Address
-
935 JERSEY STQUINCY, IL, 623014030Browse IL providers · Browse ZIP 62301
- Phone
- 2172282413
- Fax
- 2172282416
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in QUINCY, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. GEORGIA A JANSSEN | MS RD LDN | 1649272659 |
| MRS. KIMBERLY M OTTER | RD LDN | 1245232909 |
| SHARON L HARRISON | R.D. | 1063456580 |
| LUCY CRAIN | RD | 1962697912 |
| MRS. MARY CLARE REITER | R.D., L.D. | 1588845648 |
| MRS. ANGELA MARIE ZANGER | MS, RD, LDN | 1538337852 |
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.