Individual
BRENDA PENDARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
LD1295
OK
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD1295
LICENSED DIETITIAN
OK
Enumeration date
11/05/2014
Last updated
11/05/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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