| Wendy Brooke, RD | |
|
1892 Williams Street, Nutrition And Food Service, Fort Harrison, MT 59636 | |
| (406) 447-7365 | |
| Not Available |
| Full Name | Wendy Brooke |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1892 Williams Street, Fort Harrison, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023021714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 340 (Montana) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Brooke, RD 1892 Williams Street, Fort Harrison, MT 59636 Ph: (406) 447-7365 | Wendy Brooke, RD 1892 Williams Street, Nutrition And Food Service, Fort Harrison, MT 59636 Ph: (406) 447-7365 |
Meghan Gibson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3687 Veterans Dr, Fort Harrison, MT 59636 Phone: 406-447-6711 | |
Katherine A Rucker, RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1892 Veterans Way, Fort Harrison, MT 59636 Phone: 406-447-7370 | |
Ms. Annette Peterson, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1892 Veterans Way, Nutrition & Food Service (120), Fort Harrison, MT 59636 Phone: 406-447-7334 |