Individual provider · Type 1 NPI

Ethan Vincent Wilson, RDN

Registered Dietitian · Mount Pleasant, WI

NPI number 1861236903 Active

Practice location

3801 Spring St
Mount Pleasant, WI 53405-1667

Call (262) 687-4011 Map

Mailing address

3301 13th St # 6D
Kenosha, WI 53144-2931

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X5820-29 (WI)
Registered Dietitian Primary 133V00000X164.011343 (IL)
Registered Dietitian 133V00000X2023034183 (MO)

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 1861236903

Ethan Vincent Wilson, RDN's National Provider Identifier is 1861236903, issued on Jun 24, 2024. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Mount Pleasant, WI. The record was last updated on Mar 17, 2026.