Individual
MRS. ANDREA BRIGGS OLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD/N
Contact information
Practice address
3221 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8002
(941) 505-8720
(941) 505-8747
Mailing address
3221 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8002
(941) 505-8720
(941) 505-0156
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
ND2794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N004P
BCBS FL
FL
Enumeration date
08/21/2009
Last updated
05/12/2010
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