MEDICARE: NUTRITION BY BRITTANY LLC

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
1	133V00000X	Registered Dietitian	1034193	NY

General Provider Information

NPI Number	:	1467901595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUTRITION BY BRITTANY LLC

Provider Business Mailing Address
First Line	:	11740 CHASE CT
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80020-5960
Country	:	US
Telephone Number	:	916-300-6904
Fax Number	:	303-568-7947

Provider Business Practice Location Address
First Line	:	80 GARDEN CTR STE 129
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-2622
Country	:	US
Telephone Number	:	916-300-6904
Fax Number	:	303-568-7947

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTANY SPARKS
Credential	:	RDN, CSR
Telephone Number	:	916-300-6904

Provider Enumeration Date	:	09/30/2016
Last Update Date	:	02/24/2023

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Directions to “NUTRITION BY BRITTANY LLC ” Practice Location

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