Brianna Nicole Fortin, MS, RDN, LD

NPI #1225688195 in Saco, Maine

Provider Information

NPI Number: 1225688195
Entity Type: Individual
Name: Brianna Nicole Fortin, MS, RDN, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RDN, LD
Enumeration Date: Sep 12, 2019
Last Updated: Sep 12, 2019

Practice Location

Address: 120 MAIN ST # 113
City: Saco
State: Maine
ZIP Code: 04072-3527
Phone: (207) 450-3773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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