NPI 1861095655 · live from the CMS NPI Registry
Haley Christine Brannan, RD
Dietitian, Registered in Montrose, CA. National Provider Identifier 1861095655, active.
NPI record
| NPI | 1861095655 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2550 Honolulu Ave Ste 106, Montrose, CA 91020 |
| Practice phone | 314-265-1628 |
| Mailing address | 9215 Lemona Dr, Saint Louis, MO 63123 |
| Enumerated | November 16, 2020 |
| Last updated | January 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2020034244 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.