Provider Demographics
NPI:1801335153
Name:TAYLOR, WENDIE (RD)
Entity type:Individual
Prefix:
First Name:WENDIE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 N FEDERAL HWY APT 608
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1402
Mailing Address - Country:US
Mailing Address - Phone:336-601-4508
Mailing Address - Fax:
Practice Address - Street 1:18B RICE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-2027
Practice Address - Country:US
Practice Address - Phone:336-601-4508
Practice Address - Fax:855-325-7781
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered