Provider Demographics
NPI:1174531974
Name:BRITTNER, SUSAN D (RD, LD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:D
Last Name:BRITTNER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:D
Other - Last Name:BEIGCL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,RD,LD
Mailing Address - Street 1:11799 FAIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-9239
Mailing Address - Country:US
Mailing Address - Phone:352-799-2498
Mailing Address - Fax:352-799-2498
Practice Address - Street 1:11799 FAIRFIELD CT
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-9239
Practice Address - Country:US
Practice Address - Phone:352-799-2498
Practice Address - Fax:352-799-2498
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4657133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered