| Angela Wortley, RDN | |
|
1717 Collegewood St, Ypsilanti, MI 48197-2052 | |
| (734) 707-1964 | |
| Not Available |
| Full Name | Angela Wortley |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1717 Collegewood St, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508369430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Ilivewell Nutrition Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Wortley, RDN 1717 Collegewood St, Ypsilanti, MI 48197-2052 Ph: () - | Angela Wortley, RDN 1717 Collegewood St, Ypsilanti, MI 48197-2052 Ph: (734) 707-1964 |
Ms. Karen L Karolle-caton, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5320 Elliott Dr Ste 203, Ypsilanti, MI 48197 Phone: 734-712-2959 | |
Eastern Michigan University Dietitian Medicare: Not Enrolled in Medicare Practice Location: Suite 160 Rackham, Ypsilanti, MI 48197 Phone: 734-487-6572 | |
Kimberly Ann Vandewege, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 536 Terrace Ln, Ypsilanti, MI 48198 Phone: 734-255-0131 | |
Mr. Dennis Gordon, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5320 Elliott Dr, Ypsilanti, MI 48197 Phone: 734-712-1049 | |
Jennie Marie Hahn, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5320 Elliott Dr, Suite 203, Ypsilanti, MI 48197 Phone: 734-712-1047 Fax: 734-712-1391 | |
Laura Ritter, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5320 Elliott Dr Ste 202, Ypsilanti, MI 48197 Phone: 734-712-6299 | |
Cristina Hauncher, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5325 Elliott Dr, Ypsilanti, MI 48197 Phone: 734-712-8000 Fax: 734-712-4319 |