Individual provider · Type 1 NPI

Courtney Iwanicki, MS, RD, CSP

Pediatric Nutrition Registered Dietitian · Clinton, MI

NPI number 1891454815 Active

Practice location

13733 Allen Rd
Clinton, MI 49236-9653

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XNone listed

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…

About NPI 1891454815

Courtney Iwanicki, MS, RD, CSP's National Provider Identifier is 1891454815, issued on Dec 17, 2021. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Clinton, MI. The record was last updated on Dec 17, 2021.