NPI 1093094575 · live from the CMS NPI Registry
Elizabeth Ann Brine, MMSc, RD, CD
Dietitian, Registered, Nutrition, Pediatric in Reelsville, IN. National Provider Identifier 1093094575, active.
NPI record
| NPI | 1093094575 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Pediatric 133VN1004X |
| Practice location | 3237 W County Road 875 S, Reelsville, IN 46171 |
| Practice phone | 317-508-3136 |
| Enumerated | August 15, 2011 |
| Last updated | August 15, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Pediatric primary | 133VN1004X | 37000065A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.