Individual
HEATHER E BRASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0905
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86111381
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007091
—
AZ
Enumeration date
05/29/2020
Last updated
04/20/2026
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