Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ELIZABETH ANN BRINE, MMSC, RD, CD
Active Sole ProprietorPediatric Nutrition · REELSVILLE, IN
Registration Details
- NPI Number
- 1093094575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2011 (14.684823999654 yrs)
- Last Updated
- Aug 15, 2011
- License
-
37000065A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3237 W COUNTY ROAD 875 SREELSVILLE, IN, 461719477Browse IN providers · Browse ZIP 46171
- Phone
- 3175083136
- Fax
- 7656724685
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.