Provider Demographics
NPI:1134947732
Name:DASILVA, BRITTANI (MS, RD)
Entity type:Individual
Prefix:
First Name:BRITTANI
Middle Name:
Last Name:DASILVA
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 FOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-5715
Mailing Address - Country:US
Mailing Address - Phone:732-779-5877
Mailing Address - Fax:
Practice Address - Street 1:559 FOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-5715
Practice Address - Country:US
Practice Address - Phone:732-779-5877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86087590133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered