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

MS. Amanda Lee Park, MS, RD

Individual provider Registered Dietitian · NPI 1376742775

MS. Amanda Lee Park, MS, RD is a Registered Dietitian in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

5000 W National Ave
Milwaukee, WI 53295-0001
Phone: (414) 384-2000
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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 967535 (WI)

Record details

NPI number1376742775
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESDecember 12, 2007

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