National Provider Identifier

Brianna Marie Wallenhorst, MD, RD

Brianna Marie Wallenhorst, MD, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Depew, NY and a listed phone number of (716) 803-5770.

NPI 1538632971Depew, NYRegistered Dietitian

Profile Overview

NPI
1538632971
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
January 08, 2019
Last Updated
March 12, 2025

Practice Location

  • 244 Wayside Dr
  • Depew, NY 14043-1722

Phone: (716) 803-5770

Mailing Address

  • 98 Ridgewood RD
  • Buffalo, NY 14220-2224

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1538632971
Entity Type
Individual
Last Name
Wallenhorst
First Name
Brianna
Middle Name
Marie
Credential
MD, RD
Mailing Street Address
98 Ridgewood RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-2224
Mailing Country
US
Practice Street Address
244 Wayside Dr
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-1722
Practice Country
US
Practice Phone
(716) 803-5770
Enumeration Date
January 08, 2019
Last Updated
March 12, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)