IndividualActive
Brenda Young
NPI 1336441047 · Nutrition Education Nutritionist · Bloomington, IL
Provider details
- NPI number
- 1336441047
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 164004334 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1701 E College Ave
Bloomington, IL 61704-2101
Phone: (309) 664-3000
Approximate (ZIP-level) locationGet directions
Mailing address
1701 E College Ave
Bloomington, IL 61704-2101
Registry dates
- Enumerated
- 2010-12-01
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.