Individual
MS. ELIZABETH ANN BRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMSC, RD, CD
Contact information
Practice address
3237 W COUNTY ROAD 875 S, REELSVILLE, IN 46171-9477
(317) 508-3136
(765) 672-4685
Mailing address
3237 W COUNTY ROAD 875 S, REELSVILLE, IN 46171-9477
(317) 508-3136
(765) 672-4685
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
37000065A
IN
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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