Alexandra Bryan, RD, LD

Registered Dietitian · Peoria, IL

Individual Active NPI

NPI number 1760003230

Practice location

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone
(309) 672-4570

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NPI record

NPI
1760003230
Entity type
Individual (Type 1)
Enumeration date
May 6, 2020
Last updated
May 6, 2020
Certified
May 6, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X — —

Mailing address

807 Hickory Creek Ct
Germantown Hills, IL 61548-9088
Phone
(309) 657-4228

About Alexandra Bryan

Alexandra Bryan, RD, LD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 221 NE Glen Oak Ave, Peoria, IL 61636-0001. The NPI number 1760003230 was assigned on May 6, 2020 and the record was last updated on May 6, 2020.

Frequently asked questions

What is the NPI number of Alexandra Bryan, RD, LD?

The NPI number is 1760003230.

What is the phone number of Alexandra Bryan?

The phone number listed for the practice location is (309) 672-4570.

Where is Alexandra Bryan located?

221 NE Glen Oak Ave, Peoria, IL 61636-0001.

What is the taxonomy code for Alexandra Bryan?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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