| Doctor Name: | DEVON WIEKRYKAS |
| NPI Number: | 1710315692 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDN, LDN |
| License Number: | DN005209 |
| Business Practice Address: | 1017 Mumma Rd Suite 200 Wormleysburg, PA - 170431145 |
| Business Phone Number: | 7177631798 |
| Business Fax Number: | |
| Mailing Address: | 3501 N 2nd St, HARRISBURG |
| State: | PA |
| Postal Code: | 171101406 |
| Phone Number: | 7177631798 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2013 |
| NPI Last Update Date: | 10/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DN005209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |