Provider Demographics
NPI:1588987101
Name:WERNER, BRITTANY RAY (MS, RDN)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:RAY
Last Name:WERNER
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WHITE DEER WAY
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-7600
Mailing Address - Country:US
Mailing Address - Phone:202-372-7631
Mailing Address - Fax:
Practice Address - Street 1:116 WHITE DEER WAY
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-7600
Practice Address - Country:US
Practice Address - Phone:202-372-7631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX2963133V00000X
IL164.009735133V00000X
AR2439133V00000X
OK2903133V00000X
PADN008206133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered