Provider Demographics
NPI:1417643941
Name:GAGE, BRITTANY (RDN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:GAGE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SATURN PL
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3813
Mailing Address - Country:US
Mailing Address - Phone:406-647-3464
Mailing Address - Fax:
Practice Address - Street 1:21 SATURN PL
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3813
Practice Address - Country:US
Practice Address - Phone:406-647-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered