NPI 1811817596 · live from the CMS NPI Registry
Georgia Bernwanger, RD
Dietitian, Registered in Northville, MI. National Provider Identifier 1811817596, active.
NPI record
| NPI | 1811817596 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 17250 Cameron Dr, Northville, MI 48168 |
| Practice phone | 512-693-7045 |
| Enumerated | July 21, 2026 |
| Last updated | July 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.