Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA YOUNG
ActiveNutrition, Education · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1336441047
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2010 (15.427492183433 yrs)
- Last Updated
- Jan 21, 2025
- License
-
164004334 (IL)
Practice Information
- Address
-
1701 E COLLEGE AVEBLOOMINGTON, IL, 617042101Browse IL providers · Browse ZIP 61704
- Phone
- 3096643000
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.