NPI 1487893368

Merikelly Borgognoni, MSRDCDE

Practitioner Registered Dietitian Brandon, MS

Practice location

Address: 105 Spann Dr Suite C, Brandon, MS 39047-8810
Phone: (601) 919-0972
Fax: (601) 919-0974

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D1042 (MS)

Other Dietitian, Registered providers in Mississippi →

Registry record

NPI: 1487893368
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2009
Record last updated: 17 Feb 2009

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.