Courtney Iwanicki, MS, RD, CSP is a
Dietitian, Registered - Nutrition, Pediatric based in Clinton, Michigan. Courtney Iwanicki is licensed to practice in Michigan (license number ) and her current practice location is
13733 Allen Rd, Clinton, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 591-2464.
NPI number for Courtney Iwanicki is 1891454815 and her current mailing address is 13733 Allen Rd, Clinton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891454815.
Healthcare Provider's Profile
Full Name | Courtney Iwanicki |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Pediatric |
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Location | 13733 Allen Rd, Clinton, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891454815
- Provider Enumeration Date: 12/17/2021
- Last Update Date: 12/17/2021
Medical Identifiers
Medical identifiers for Courtney Iwanicki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891454815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Iwanicki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Courtney Iwanicki, MS, RD, CSP 13733 Allen Rd, Clinton, MI 49236-9653 Ph: (269) 591-2464 | Courtney Iwanicki, MS, RD, CSP 13733 Allen Rd, Clinton, MI 49236-9653 Ph: (269) 591-2464 |
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