Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
BROOKE ANN MARIE DECELLES
Active
Individual
BROOKE ANN MARIE DECELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010313-01
NY
133V00000X
Registered Dietitian
01031301
NY
133V00000X
Registered Dietitian
DN007980
PA
Other
Enumeration date
01/03/2021
Last updated
08/15/2024
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