Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNA TUCKER, RDN
ActivePediatric Nutrition · SOUTH BEND, IN
Registration Details
- NPI Number
- 1598454886
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2023 (2.9697759458936 yrs)
- Last Updated
- May 3, 2023
Practice Information
- Address
-
211 N EDDY STSOUTH BEND, IN, 466172808Browse IN providers · Browse ZIP 46617
- Phone
- 5742046664
- 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.