NPI 1891289948 · live from the CMS NPI Registry
Rebecca Rose Brannan, RDN, LD
Dietitian, Registered in Saint Cloud, MN. National Provider Identifier 1891289948, active.
NPI record
| NPI | 1891289948 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4801 Veterans Dr, Saint Cloud, MN 56303 |
| Practice phone | 320-255-6376 |
| Mailing address | 209 Sunwood Park Dr, Waite Park, MN 56387 |
| Enumerated | June 20, 2018 |
| Last updated | June 20, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3891 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.