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NPI Code Detail

MEDICARE: BRITTAN DONOHOE INC

MEDICARE: BRITTAN DONOHOE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1174400832
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRITTAN DONOHOE INC
Provider Business Mailing Address
First Line : 3920 PORTLAND AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-2523
Country : US
Telephone Number : 507-382-0357
Fax Number :
Provider Business Practice Location Address
First Line : 3920 PORTLAND AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-2523
Country : US
Telephone Number : 507-382-0357
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BRITTAN DONOHOE
Credential : RD, LD
Telephone Number : 507-382-0357
Provider Enumeration Date : 08/16/2025
Last Update Date : 08/16/2025

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