Provider Demographics
NPI:1184768343
Name:WHIPPLE, YOU-YING WANG (RD)
Entity type:Individual
Prefix:MRS
First Name:YOU-YING
Middle Name:WANG
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9477 E 500 S
Mailing Address - Street 2:P.O. BOX 448
Mailing Address - City:UPLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46989-9429
Mailing Address - Country:US
Mailing Address - Phone:765-661-9682
Mailing Address - Fax:
Practice Address - Street 1:9477 E 500 S
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:IN
Practice Address - Zip Code:46989-9429
Practice Address - Country:US
Practice Address - Phone:765-661-9682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37000440A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered