Provider Demographics
NPI:1629691902
Name:GILES, BRITNEY (RDN)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:GILES
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:
Other - Last Name:BEUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1360 E BROWN RD UNIT 7
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-5044
Mailing Address - Country:US
Mailing Address - Phone:480-490-8650
Mailing Address - Fax:
Practice Address - Street 1:2470 S VAL VISTA DR STE 104
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1693
Practice Address - Country:US
Practice Address - Phone:602-770-7611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered