Individual provider · NPI-1

Andrea Kay Brettin, MS, RDN, LDN

Dietitian, Registered · Mattoon, IL

NPI number1306349469
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1306349469
Entity type
Individual (NPI-1)
Name
Andrea Kay Brettin
Credential
MS, RDN, LDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 15, 2018
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164.006956ILYes

Other names

  • Andrea Kay Hussong (Former Name)

Practice location

501 Lake Land Blvd
Mattoon, IL 61938-5283

Phone 217-554-3000

Mailing address

501 Lake Land Blvd
Mattoon, IL 61938-5283

Other practice locations

5850 6th Street Frontage Rd E Ste A
Springfield, IL 62703-5194

Phone 217-554-3000

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