IndividualActive
Amy Wilke, MS RD CNSC
NPI 1205170263 · Pediatric Nutrition Registered Dietitian · Northridge, CA
Provider details
- NPI number
- 1205170263
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS RD CNSC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 717544 (AZ)
Mailing address
827 N Hollywood Way # 180
Burbank, CA 91505-2814
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.