Individual provider · Type 1 NPI

Stephanie Wielosinski

Registered Dietitian · Fort Wayne, IN

NPI number 1073483707 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1073483707

Stephanie Wielosinski's National Provider Identifier is 1073483707, issued on Nov 7, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 7, 2025.