Provider Demographics
NPI:1962903070
Name:HUDSON, BRITTNEY (RDN, CD)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:HUDSON
Suffix:
Gender:F
Credentials:RDN, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 N 150 E
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-1126
Mailing Address - Country:US
Mailing Address - Phone:518-951-8125
Mailing Address - Fax:
Practice Address - Street 1:737 N 150 E
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-1126
Practice Address - Country:US
Practice Address - Phone:518-951-8125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered