Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Wotan, RD

Individual provider Registered Dietitian · NPI 1760096523

Andrea Wotan, RD is a Registered Dietitian in Liverpool, New York. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

17 Juneberry Ln
Liverpool, NY 13090-3016
Phone: (734) 263-7374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86109809 (MI)

Record details

NPI number1760096523
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedAugust 31, 2020
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

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