Brooke Michelle Evans
Dietitian, Registered in Kingston, PA. Individual provider (NPI-1).
NPI number1043852247
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1043852247
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brooke Michelle Evans
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN007107 | PA | Yes |
| 133V00000X | Dietitian, Registered | 86115396 | PA |
Practice location
480 Pierce St Ste 201Kingston, PA 18704-5512
Phone 888-862-0803 · Fax 888-862-0803
Mailing address
480 Pierce St Ste 201Kingston, PA 18704-5512
Phone 888-862-0803 · Fax 888-862-0803
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Other Registered Dietitian providers in Kingston, PA
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All 15 Registered Dietitian providers in Kingston · All 856 providers in Kingston
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