| Doctor Name: | BRYANNA RUTH WEBER |
| NPI Number: | 1588914691 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C, RD |
| License Number: | 1020845 |
| Business Practice Address: | 1005 S Us Highway 27 Suite 100 Saint Johns, MI - 488792423 |
| Business Phone Number: | 9892243000 |
| Business Fax Number: | 9892241424 |
| Mailing Address: | 1005 S Us Highway 27, Suite 100 SAINT JOHNS |
| State: | MI |
| Postal Code: | 488792423 |
| Phone Number: | 9892243000 |
| Fax Number: | 9892241424 |
| NPI Enumeration Date: | 09/17/2012 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1020845 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| 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 |