NPI 1952963019 · live from the CMS NPI Registry
Cora Lynn Brakhage, RDN, CDE
Dietitian, Registered in Pell City, AL. National Provider Identifier 1952963019, active.
NPI record
| NPI | 1952963019 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 7063 Veterans Pkwy, Pell City, AL 35125 |
| Practice phone | 205-814-2419 |
| Enumerated | June 28, 2019 |
| Last updated | June 28, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1634 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.