Individual
BREANN M ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9831
(812) 426-9778
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9831
(812) 426-9778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001606
IN
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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