Individual
MRS. BREANNA NICOLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7120
(541) 472-7123
Mailing address
2620 E BARNETT RD, #H, MEDFORD, OR 97504-8344
(541) 789-4281
(541) 789-2558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10159157
OR
133VN1004X
Pediatric Nutrition Registered Dietitian
LD-D-10159157
OR
133VN1005X
Renal Nutrition Registered Dietitian
LD-D-10159157
OR
133VN1006X
Metabolic Nutrition Registered Dietitian
LD-D-10159157
OR
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us