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Contact Information

MELISSA M WALLINGA, DCN, RD, LD
4272 E WESTPORT CT
MERIDIAN, ID83642-7650
 Phone: 712-540-3072
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MELISSA M WALLINGA · (Female)

NPI # 1235538802
Status Active
Credentials DCN, RD, LD
Entity Individual
Enumeration date 08/19/2014
Last updated 05/19/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # D-827
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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