Individual
MRS. BRENNA NICOLE DENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-7204
Mailing address
1015 32ND AVE N, ST PETERSBURG, FL 33704-1938
(317) 645-6636
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
ND8245
FL
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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