Provider Demographics
NPI:1356124929
Name:ORONOZ, BRIANNE (RDN)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:ORONOZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 W 20 N
Mailing Address - Street 2:
Mailing Address - City:HYRUM
Mailing Address - State:UT
Mailing Address - Zip Code:84319-1508
Mailing Address - Country:US
Mailing Address - Phone:209-747-2885
Mailing Address - Fax:
Practice Address - Street 1:283 W 20 N
Practice Address - Street 2:
Practice Address - City:HYRUM
Practice Address - State:UT
Practice Address - Zip Code:84319-1508
Practice Address - Country:US
Practice Address - Phone:209-747-2885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12937814-4901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered