IndividualActive
Brandon Borom, RDN LMT MBW BSN
NPI 1093285850 · Nutritionist · Sparks, NV
Provider details
- NPI number
- 1093285850
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- RDN LMT MBW BSN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 86177356 (NV)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Other Service Providers
Other Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
885 Sparks Blvd Ste 300
Sparks, NV 89434-7933
Phone: (775) 527-7950
Approximate (ZIP-level) locationGet directions
Mailing address
885 Sparks Blvd Ste 300
Sparks, NV 89434-7933
Registry dates
- Enumerated
- 2018-12-04
- Last updated
- 2021-02-11
- Certified
- 2021-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.