Provider Demographics
NPI:1154045649
Name:BITHONEY, BRENDA (ND)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:
Last Name:BITHONEY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 WATERMAN ST STE 308B
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5215
Mailing Address - Country:US
Mailing Address - Phone:401-270-1742
Mailing Address - Fax:
Practice Address - Street 1:245 WATERMAN ST STE 308B
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5215
Practice Address - Country:US
Practice Address - Phone:401-270-1742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAND-0020175F00000X
RIND00020175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath