Penny Sabrina Brooks, MS, RD, LD/N
Dietitian, Registered in Greenbelt, MD. Individual provider (NPI-1).
NPI number1134819790
StatusActive
Last updated in NPPESMay 8, 2023
Details
- NPI
- 1134819790
- Entity type
- Individual (NPI-1)
- Name
- Ms. Penny Sabrina Brooks
- Credential
- MS, RD, LD/N
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2023
- Certification date
- May 8, 2023
- Last updated
- May 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86020556 | FL | Yes |
| 133N00000X | Nutritionist | DX4497 | MD | |
| 133NN1002X | Nutritionist, Nutrition, Education | DX4497 | MD |
Practice location
7500 Hanover Pkwy Ste 105aGreenbelt, MD 20770-2011
Phone 301-220-2220
Mailing address
8150 Lakecrest Dr Apt 803Greenbelt, MD 20770-3332
Phone 305-989-1745
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