Provider Demographics
NPI:1679238265
Name:HOLBROOK, BRITNEY NICOLE (MS, RD)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:NICOLE
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:NICOLE
Other - Last Name:PARROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:458 FOX MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504-6192
Mailing Address - Country:US
Mailing Address - Phone:970-631-2587
Mailing Address - Fax:
Practice Address - Street 1:501 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-8510
Practice Address - Country:US
Practice Address - Phone:970-625-6200
Practice Address - Fax:970-625-6203
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86010927133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered