AMANDA ELLISTON, LDN, CLC

Nutritionist

Active Individual
NPI: 1417674219

Practice Address

12 GLENN DR
Wilbraham, MA 01095

Phone: (413) 695-2884

Specialties

Specialty Code Primary License
Lactation Consultant, Non-RN 174N00000X No 20983 (MA)
Nutritionist 133N00000X Yes 3157 (MA)

Frequently Asked Questions

NPI 1417674219 is the National Provider Identifier for AMANDA ELLISTON, LDN, CLC, a Nutritionist provider located in Wilbraham, MA. This NPI was enumerated on October 21, 2022.
AMANDA ELLISTON, LDN, CLC practices at 12 GLENN DR, Wilbraham, MA 01095.

Quick Facts

NPI
1417674219
Type
Individual
Enumerated
Oct 21, 2022
Last Updated
Feb 3, 2026

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