Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. BRENDA LEE ROUNDTREE, NDTR
Active Sole Proprietor136A00000X · GILBERT, AZ
Registration Details
- NPI Number
- 1588385132
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2022 (3.609204058703 yrs)
- Last Updated
- Sep 12, 2022
- Licenses
-
1085276 (AZ)1085276 (AZ)1085276 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3103 E COUNTRY SHADOWS STGILBERT, AZ, 852989026Browse AZ providers · Browse ZIP 85298
- Phone
- 6028536927
- Primary Specialty
-
136A00000X
136A00000X
- Additional Specialty
- Nutrition, Education
- Additional Specialty
- 136A00000X
Other 136A00000X Providers in GILBERT, AZ
| Name | Credential | NPI |
|---|---|---|
| MS. TAMARA J DAMON | — | 1952959108 |
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.