Provider Demographics
NPI:1578153532
Name:REUTER, BRITTNEY (LDN, LN, CNS)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:REUTER
Suffix:
Gender:F
Credentials:LDN, LN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 BAY DR
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1956
Mailing Address - Country:US
Mailing Address - Phone:651-366-2121
Mailing Address - Fax:
Practice Address - Street 1:33 BAY DR
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-1956
Practice Address - Country:US
Practice Address - Phone:651-366-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-24
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5041133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist