IndividualActive
Brooke Wyatt, MS, RDN, CSSD
NPI 1245943778 · Sports Dietetics Nutrition Registered Dietitian · Lake Forest, CA
Provider details
- NPI number
- 1245943778
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, CSSD
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
24642 Via Raza
Lake Forest, CA 92630-2043
Registry dates
- Enumerated
- 2022-12-29
- Last updated
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.