Individual
SUSAN L BRUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5090 N 40TH ST STE 250, PHOENIX, AZ 85018
(602) 258-3354
Mailing address
4214 N 38TH ST UNIT C, PHOENIX, AZ 85018-4839
(602) 736-7397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
439298
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
439298
CDR
—
Enumeration date
08/30/2018
Last updated
10/25/2019
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