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Contact Information

WENDY BROEKEMA, MS, RDN
4602 EASTPARK BLVD
MADISON, WI53718-2002
 Phone: 608-263-1530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for WENDY BROEKEMA · (Female)

NPI # 1538542733
Status Active
Credentials MS, RDN
Entity Individual
Enumeration date 07/07/2015
Last updated 12/16/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 146635
  • WI License # 3313
  • Other 1002101 COMMISSION ON DIETETIC REGISTRATION
  • WI Other 3313 CERTIFIED DIETITIAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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