Individual
NANCY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRD
Contact information
Practice address
10 HERITAGE FARM RD, EAST GRANBY, CT 06026-9677
(860) 651-8896
Mailing address
10 HERITAGE FARM RD, EAST GRANBY, CT 06026-9677
(860) 651-8896
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000574
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270000574CT01
ANTHEM
CT
Enumeration date
12/16/2013
Last updated
10/29/2014
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