Andrea Louise Braverman in Willits - Dietitian, Registered
Andrea Louise Braverman - NPI 1629120860
Andrea Louise Braverman is a Dietitian, Registered in Willits, California. Andrea Louise Braverman practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Andrea Louise Braverman is 1629120860. The last update date is 2007-07-08.
Andrea Louise Braverman's current location address is 1 Madrone St, Willits, California. You can contact this provider via phone number 7074563132 and fax number 7074563032. The mailing address for Andrea Louise Braverman is 1 Madrone St, Willits, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Louise Braverman |
|---|---|
| Address | 1 Madrone St, Willits, California |
| Phone Number | 7074563132 |
| Fax Number | 7074563032 |
| Sole Proprietor | Y |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1629120860 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Madrone St |
|---|---|
| City | Willits |
| State | California (CA) |
| Post Code | 954904225 |
| Phone Number | 7074563132 |
| Fax Number | 7074563032 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | R362093 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identification code assigned to Andrea Louise Braverman by the Centers for Medicare & Medicaid Services?
The Andrea Louise Braverman has been issued the NPI (National Provider Identifier) 1629120860, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Andrea Louise Braverman's facilities are situated?
The facilities of Andrea Louise Braverman are physically located at the following address: 1 Madrone St, Willits, CA, 954904225.
What is the Andrea Louise Braverman's specialty and taxonomy code?
The Andrea Louise Braverman's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
On what date did the Andrea Louise Braverman receive the assignment of its 1629120860 from the Centers for Medicare & Medicaid Services?
The Andrea Louise Braverman was issued its 1629120860 by the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the Andrea Louise Braverman's information last updated?
The Andrea Louise Braverman's information was last updated on 2007-07-08.