Doctor Name: | MELISSA RUTH BRANNON |
NPI Number: | 1184670895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D.N. |
License Number: | ND4777 |
Business Practice Address: | 403 W Hymes Rd Bldg 843 Eglin Afb, FL - 325425621 |
Business Phone Number: | 8508839035 |
Business Fax Number: | |
Mailing Address: | 112 Pleasant Way, DEFUNIAK SPRINGS |
State: | FL |
Postal Code: | 324357600 |
Phone Number: | 8508658260 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 02/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND4777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |