Provider Demographics
NPI:1962978064
Name:WARDAY, COURTNEY ANN (RD, LMNT)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:ANN
Last Name:WARDAY
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:JAROSZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5520 NW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4399
Mailing Address - Country:US
Mailing Address - Phone:402-432-4748
Mailing Address - Fax:402-421-2738
Practice Address - Street 1:5520 NW 3RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4399
Practice Address - Country:US
Practice Address - Phone:402-432-4748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1344133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered