Holly Joy Wadeson, RD is a
Dietitian, Registered based in Mandan, North Dakota. Holly Joy Wadeson is licensed to practice in North Dakota (license number 938) and her current practice location is
3416 Bay Shore Bnd Se, Mandan, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 730-0979.
NPI number for Holly Joy Wadeson is 1649760976 and her current mailing address is 3416 Bay Shore Bnd Se, Mandan, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649760976.
Healthcare Provider's Profile
| Full Name | Holly Joy Wadeson |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
|---|
| Location | 3416 Bay Shore Bnd Se, Mandan, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649760976
- Provider Enumeration Date: 05/11/2018
- Last Update Date: 05/11/2018
Medical Identifiers
Medical identifiers for Holly Joy Wadeson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649760976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 938 (North Dakota) | 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. Holly Joy Wadeson 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 |
|---|
Holly Joy Wadeson, RD
3416 Bay Shore Bnd Se,
Mandan, ND 58554-6259
Ph: () - | Holly Joy Wadeson, RD
3416 Bay Shore Bnd Se,
Mandan, ND 58554-6259
Ph: (701) 730-0979 |
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