Individual provider · Type 1 NPI
Andrea Wotan, RD
Registered Dietitian · Liverpool, NY
Practice location
17 Juneberry Ln
Liverpool, NY 13090-3016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 86109809 (MI) |
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 1760096523
Andrea Wotan, RD's National Provider Identifier is 1760096523, issued on Aug 31, 2020. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Liverpool, NY. The record was last updated on Nov 17, 2025.