Wellformed AI

NPI 1972027324 · live from the CMS NPI Registry

Haley Brooke Brannan, RDN, LD

Dietitian, Registered in Joplin, MO. National Provider Identifier 1972027324, active.

NPI record

NPI1972027324 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location1532 W 32nd St Ste 202, Joplin, MO 64804
Practice phone417-347-5700
EnumeratedJuly 27, 2017
Last updatedJuly 27, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X2017025883 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.