Healthcare Provider Details

I. General information

NPI: 1144964503
Provider Name (Legal Business Name): BRIANNA HARRINGTON RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 11/22/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 MALLARD CREEK RD STE 340
CHARLOTTE NC
28262-5203
US

IV. Provider business mailing address

8602 DAINTRY LN
WAXHAW NC
28173-1704
US

V. Phone/Fax

Practice location:
  • Phone: 704-549-9550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86292832
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: