Provider Demographics
NPI:1386344117
Name:WELLS, BRITTANY L (RD)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:L
Last Name:WELLS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 OSPREY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2698
Mailing Address - Country:US
Mailing Address - Phone:513-305-4046
Mailing Address - Fax:
Practice Address - Street 1:4735 OSPREY POINTE DR
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-2698
Practice Address - Country:US
Practice Address - Phone:513-305-4046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1096962133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered