Amy Ewerdt, RD
Dietitian, Registered in Waupun, WI. Individual provider (NPI-1).
NPI number1932035342
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1932035342
- Entity type
- Individual (NPI-1)
- Name
- Amy Ewerdt
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2026
- Certification date
- Jun 23, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 01024916 | WI | Yes |
Practice location
807 E Franklin StWaupun, WI 53963-1518
Phone 920-904-2969
Mailing address
807 E Franklin StWaupun, WI 53963-1518
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