Search › Illinois › 133V00000X

Miranda Willetts, RD, LDN, PN2

NPI 1548641368 · on the registry since 2015 · sole proprietor

Practice

Address
2040 N Kedzie Ave # 1n
Chicago, IL 60647
Phone
(937) 470-5235

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois