Provider Demographics
NPI:1033340880
Name:BRAMBLEY, WENDY JOY (RD)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:JOY
Last Name:BRAMBLEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 JADWIN AVE
Mailing Address - Street 2:RICHLAND VA CBOC
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3589
Mailing Address - Country:US
Mailing Address - Phone:509-947-0676
Mailing Address - Fax:
Practice Address - Street 1:825 JADWIN AVE
Practice Address - Street 2:RICHLAND VA CBOC
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3589
Practice Address - Country:US
Practice Address - Phone:509-947-0676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00000363133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered