Provider Demographics
NPI:1902645088
Name:BRITT, ALEXANDRA ELAINE (MS, RD, LDN)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:ELAINE
Last Name:BRITT
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 DOLE ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2328
Mailing Address - Country:US
Mailing Address - Phone:704-905-2437
Mailing Address - Fax:
Practice Address - Street 1:1380 LUSITANA ST STE 300
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2449
Practice Address - Country:US
Practice Address - Phone:808-691-7546
Practice Address - Fax:808-691-7802
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86199189133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered