Provider Demographics
NPI:1154412294
Name:RHYANT, WILLIE CATHRYN (RD)
Entity type:Individual
Prefix:MS
First Name:WILLIE
Middle Name:CATHRYN
Last Name:RHYANT
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 1:921 43RD ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3711
Mailing Address - Country:US
Mailing Address - Phone:516-422-8440
Mailing Address - Fax:516-422-5378
Practice Address - Street 1:7305 N. MILITARY TRAIL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6400
Practice Address - Country:US
Practice Address - Phone:516-422-8440
Practice Address - Fax:516-422-5378
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 1116133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered