Brett Herman Baney, R.D.
Dietitian, Registered in Fayetteville, AR. Individual provider (NPI-1).
NPI number1992019830
StatusActive
Last updated in NPPESMar 11, 2022
Details
- NPI
- 1992019830
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brett Herman Baney
- Credential
- R.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2010
- Certification date
- Mar 11, 2022
- Last updated
- Mar 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN004251 | PA | Yes |
Practice location
1100 N College AveFayetteville, AR 72703-1944
Phone 479-790-0458
Mailing address
1100 N College AveFayetteville, AR 72703-1944
Phone 479-790-0458
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