Provider Demographics
NPI:1548153612
Name:WENDEL, ELENA (RDN)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:WENDEL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 WAGGENER CIR
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-4928
Mailing Address - Country:US
Mailing Address - Phone:397-871-8514
Mailing Address - Fax:
Practice Address - Street 1:560 WAGGENER CIR
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-4928
Practice Address - Country:US
Practice Address - Phone:397-871-8514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered