Provider Demographics
NPI:1558664433
Name:GILBERT, BRITTANY EVANS (RD)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:EVANS
Last Name:GILBERT
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 1:1508 MAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-3518
Mailing Address - Country:US
Mailing Address - Phone:251-554-6575
Mailing Address - Fax:
Practice Address - Street 1:1508 MAINE AVE
Practice Address - Street 2:
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-3518
Practice Address - Country:US
Practice Address - Phone:251-554-6575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered