Provider Demographics
NPI:1992983050
Name:OPETAIA-WILLIAMSON, WENDY ROBIN (RD)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ROBIN
Last Name:OPETAIA-WILLIAMSON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:ROBIN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:2 BERNARDINE DR
Mailing Address - Street 2:MIH - FOOD & NUTRITION SERVICES
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-4404
Mailing Address - Country:US
Mailing Address - Phone:757-886-6380
Mailing Address - Fax:757-886-6069
Practice Address - Street 1:2 BERNARDINE DR
Practice Address - Street 2:MIH - FOOD & NUTRITION SERVICES
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4404
Practice Address - Country:US
Practice Address - Phone:757-886-6380
Practice Address - Fax:757-886-6069
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered