NPI 1104980697 · live from the CMS NPI Registry
Brenda L Allison Fay, R.D.
Dietitian, Registered in Ann Arbor, MI. National Provider Identifier 1104980697, active.
NPI record
| NPI | 1104980697 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105 |
| Practice phone | 734-998-5650 |
| Enumerated | December 20, 2006 |
| Last updated | July 30, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.