Provider Demographics
NPI:1982588133
Name:DEMUTH, BRITTNEY LEE (MPH, RD, LDN)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LEE
Last Name:DEMUTH
Suffix:
Gender:F
Credentials:MPH, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-6103
Mailing Address - Country:US
Mailing Address - Phone:727-709-4323
Mailing Address - Fax:
Practice Address - Street 1:266 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6103
Practice Address - Country:US
Practice Address - Phone:727-709-4323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004488133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered