IndividualActive
Courtney Iwanicki, MS, RD, CSP
NPI 1891454815 · Pediatric Nutrition Registered Dietitian · Clinton, MI
Provider details
- NPI number
- 1891454815
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSP
- Sex
- Female
- Sole proprietor
- No
Mailing address
13733 Allen Rd
Clinton, MI 49236-9653
Registry dates
- Enumerated
- 2021-12-17
- Last updated
- 2021-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.