Provider Demographics
NPI:1336841311
Name:MEEK, BRIANNE BETH (RD)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:BETH
Last Name:MEEK
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:BETH
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:SANDY RIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:16677-0065
Mailing Address - Country:US
Mailing Address - Phone:814-571-0978
Mailing Address - Fax:
Practice Address - Street 1:2581 CLYDE AVE
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7508
Practice Address - Country:US
Practice Address - Phone:814-943-8164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003973133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered