Provider Demographics
NPI:1548357015
Name:BRITTON, CASSANDRA RENEE (RD REGISTERED DIET)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:RENEE
Last Name:BRITTON
Suffix:
Gender:F
Credentials:RD REGISTERED DIET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2864 ASHMUN STREET
Mailing Address - Street 2:SAULT TRIBAL HEALTH CTR
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783
Mailing Address - Country:US
Mailing Address - Phone:906-632-5200
Mailing Address - Fax:906-632-5276
Practice Address - Street 1:M 28 EAST
Practice Address - Street 2:MUNISING TRIBAL HEALTH CENTER
Practice Address - City:WETMORE
Practice Address - State:MI
Practice Address - Zip Code:49895
Practice Address - Country:US
Practice Address - Phone:906-387-4721
Practice Address - Fax:906-387-4727
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN48420007Medicare ID - Type Unspecified