| Doctor Name: | BRIANNA WILSON |
| NPI Number: | 1306276613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CSSD |
| License Number: | 1008492 |
| Business Practice Address: | 316 South Stratford Avenue Suite B Santa Maria, CA - 934545908 |
| Business Phone Number: | 8053328446 |
| Business Fax Number: | 8053328173 |
| Mailing Address: | 117 W Bunny Ave, SANTA MARIA |
| State: | CA |
| Postal Code: | 934582805 |
| Phone Number: | 8053328446 |
| Fax Number: | 8053328173 |
| NPI Enumeration Date: | 11/22/2013 |
| NPI Last Update Date: | 12/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1008492 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |