NPI 1780733097 · live from the CMS NPI Registry
Cynthia Barron Brouk, R.D., L.D.
Dietitian, Registered in Clinton, MO. National Provider Identifier 1780733097, active.
NPI record
| NPI | 1780733097 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1600 N 2nd St, Clinton, MO 64735 |
| Practice phone | 660-890-7094 |
| Mailing address | Po Box 33, Lincoln, MO 65338 |
| Enumerated | January 9, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2000172607 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.