Individual
BRENNA MCCONNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
6071 VILLAGE BEND DR APT 103, DALLAS, TX 75206-3502
(214) 794-3423
Mailing address
6071 VILLAGE BEND DR APT 103, DALLAS, TX 75206-3502
(214) 794-3423
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117492
—
133V00000X
Registered Dietitian
DT86372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86117492
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
08/11/2020
Last updated
08/11/2020
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