NPI 1861635377 · live from the CMS NPI Registry
Sharon Y Charles-Brackens, DHSc, RD
Dietitian, Registered in Mobile, AL. National Provider Identifier 1861635377, active.
NPI record
| NPI | 1861635377 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3110 Richmond Dr, Mobile, AL 36695 |
| Practice phone | 251-633-5051 |
| Enumerated | April 14, 2009 |
| Last updated | April 14, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1312 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.