Emilee T Brannan, RD, LRD

Individual provider Active NPI Registered Dietitian · Williston, ND

NPI 1750729331 · NPPES record last updated May 28, 2014

Key facts

NPI
1750729331
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
928 (ND)
Practice address
1301 15TH Ave W
Williston, ND 58801-3821
Phone
(701) 774-7441
Fax
(701) 774-7049
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
928NDMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 928 ND Yes

Addresses

Primary practice location

1301 15TH Ave W
Williston, ND 58801-3821

Mailing address

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7441

Other providers in Williston, ND

All providers in Williston, ND · Registered Dietitian in North Dakota

Sources for this page

Verify at the official NPI Registry.