Provider Demographics
NPI:1538750864
Name:HOWARD, BRITTANY ANN (MS, RDN, CLC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS, RDN, CLC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN, CSP, CLC
Mailing Address - Street 1:150 N 18TH AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85007-3242
Mailing Address - Country:US
Mailing Address - Phone:602-542-2538
Mailing Address - Fax:
Practice Address - Street 1:150 N 18TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85007-3242
Practice Address - Country:US
Practice Address - Phone:602-542-2538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1088171133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered