Provider Demographics
NPI:1255989273
Name:WEDDLE, ALAINA CHRISTINE (RD)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:CHRISTINE
Last Name:WEDDLE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:ALAINA
Other - Middle Name:CHRISTINE
Other - Last Name:FINKELMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:115 WATERFORD WAY
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28555
Mailing Address - Country:US
Mailing Address - Phone:317-413-6655
Mailing Address - Fax:
Practice Address - Street 1:115 WATERFORD WAY
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28555
Practice Address - Country:US
Practice Address - Phone:317-413-6655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005757133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered