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

Ethan Vincent Wilson, RDN

Individual provider Registered Dietitian · NPI 1861236903

Ethan Vincent Wilson, RDN is a Registered Dietitian in Mount Pleasant, Wisconsin. Licensed in Illinois, Missouri and Wisconsin. Registered with an NPI since 2024.

Licensed in
IL, MO, WI
In the registry since
2024
Specialties on file
3
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone: (262) 687-4011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.011343 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence 5820-29 (WI)
Registered Dietitian Taxonomy 133V00000X · Licence 2023034183 (MO)

Record details

NPI number1861236903
Entity typeIndividual (Type 1)
GenderMale
Credentials RDN
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address3301 13th St # 6d, Kenosha, WI 53144-2931

Other providers in Mount Pleasant