IndividualActive
Brandie Wilder, RD
NPI 1003491960 · Pediatric Nutrition Registered Dietitian · Prairieville, LA
Provider details
- NPI number
- 1003491960
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 3004 (LA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
38232 Kirtley Ave
Prairieville, LA 70769-4267
Phone: (504) 401-0647
Approximate (ZIP-level) locationGet directions
Mailing address
38232 Kirtley Ave
Prairieville, LA 70769-4267
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.