Individual provider · NPI-1

Michele M Bedwell, MS RD CDE

Dietitian, Registered · Richmond, VA

NPI number1225047376
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1225047376
Entity type
Individual (NPI-1)
Name
Michele M Bedwell
Credential
MS RD CDE
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 7, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered810613VAYes

Practice location

1201 Broad Rock Blvd
Richmond, VA 23249-0001

Phone 804-675-5000

Mailing address

13132 Hampton Meadows Ter
Chesterfield, VA 23832-2021

Phone 804-675-5000

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