Provider Demographics
NPI:1376309542
Name:EDDELBUTTEL, BRITTANY PAIGE (MS, RDN)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:PAIGE
Last Name:EDDELBUTTEL
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 SW JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-7622
Mailing Address - Country:US
Mailing Address - Phone:479-531-0140
Mailing Address - Fax:
Practice Address - Street 1:2300 SW JUNIPER AVE
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72713-7622
Practice Address - Country:US
Practice Address - Phone:479-531-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management