Healthcare Provider Details

I. General information

NPI: 1154045649
Provider Name (Legal Business Name): BRENDA BITHONEY ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 WAMPANOAG TRL STE 302
RIVERSIDE RI
02915-2217
US

IV. Provider business mailing address

250 WAMPANOAG TRL STE 302
RIVERSIDE RI
02915-2217
US

V. Phone/Fax

Practice location:
  • Phone: 401-246-5711
  • Fax: 401-246-5712
Mailing address:
  • Phone: 401-246-5711
  • Fax: 401-246-5712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND00020
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: