Individual provider · Type 1 NPI

Amanda Marroquin, MS, RD, LD

Pediatric Nutrition Registered Dietitian · Fort Worth, TX

NPI number 1073979209 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Call (682) 885-4260 Map

Fax (682) 885-2874

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XDT83072 (TX)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1073979209

Amanda Marroquin, MS, RD, LD's National Provider Identifier is 1073979209, issued on Jan 4, 2016. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 22, 2021.