Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Wallace, RDN

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1437732062

Emily Wallace, RDN is a Pediatric Nutrition Registered Dietitian in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Phone: (215) 285-9048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1814 Pine St Apt 1r, Philadelphia, PA 19103-6645 — (215) 285-9048

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86098606 (PA)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X

Record details

NPI number1437732062
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedMay 2, 2021
Last updated in NPPESFebruary 18, 2024
Certification dateFebruary 18, 2024

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