NPI 1063959922

Brenna Joy Dietitian, LLC

Organisation Registered Dietitian Devils Lake, ND

Practice location

Address: 210 Highway 2 W STE 10, Devils Lake, ND 58301-2913
Phone: (701) 331-9334
Mailing address: 10282 61st St NE, Lawton, ND 58345-9260

Authorised official

Name: Brenna J Swanson
Title: Owner
Phone: (701) 331-9334

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 628 (ND)

Other Dietitian, Registered providers in North Dakota →

Registry record

NPI: 1063959922
Entity type: Organization
NPI issued: 30 Jan 2017
Record last updated: 30 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.