| NPI | 1851194484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L WISE President 610-563-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 163W00000X Registered Nurse | |
| 163WG0000X Registered Nurse, General Practice | |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2080B0002X Pediatrics, Obesity Medicine | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-03-29 |
| Last Update Date | 2025-03-29 |