Provider Demographics
NPI:1699010165
Name:WRIGHT, WHITNEY (MS,RD,LMNT)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS,RD,LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 N 169TH PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2809
Mailing Address - Country:US
Mailing Address - Phone:402-210-1030
Mailing Address - Fax:888-743-9392
Practice Address - Street 1:1812 N 169TH PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-2809
Practice Address - Country:US
Practice Address - Phone:402-210-1030
Practice Address - Fax:888-743-9392
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE925133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered