Brenna St John, is a
Dietitian, Registered based in Colfax, Washington. Brenna St John is licensed to practice in Washington (license number 60898597) and her current practice location is
1200 W Fairview St, Colfax, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 397-5743.
NPI number for Brenna St John is 1235604935 and her current mailing address is Po Box 1081, Tekoa, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235604935.
Healthcare Provider's Profile
| Full Name | Brenna St John |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1200 W Fairview St, Colfax, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235604935
- Provider Enumeration Date: 10/09/2018
- Last Update Date: 06/08/2021
Medical Identifiers
Medical identifiers for Brenna St John such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235604935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 60898597 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenna St John is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenna St John,
Po Box 1081,
Tekoa, WA 99033-1081
Ph: (509) 710-1286 | Brenna St John,
1200 W Fairview St,
Colfax, WA 99111-9552
Ph: (509) 397-5743 |
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