Provider Demographics
NPI:1780212787
Name:BRADFORD, ALAINA MARIE (RDN)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:MARIE
Last Name:BRADFORD
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:MARIE
Other - Last Name:SILBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:784 CLOVERVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-6016
Mailing Address - Country:US
Mailing Address - Phone:513-377-5851
Mailing Address - Fax:
Practice Address - Street 1:784 CLOVERVIEW AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-6016
Practice Address - Country:US
Practice Address - Phone:513-377-5851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH86033592133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered