Individual provider · Type 1 NPI

Breanna Tucker, RDN

Pediatric Nutrition Registered Dietitian · South Bend, IN

NPI number 1598454886 Active

Practice location

211 N Eddy St
South Bend, IN 46617-2808

Call (574) 204-6664 Map

Mailing address

408 W Western Ave Apt 1101
South Bend, IN 46601-2240

Specialties and licenses

Taxonomy	Code	License
Pediatric Nutrition Registered Dietitian Primary	133VN1004X	None listed

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

125 other providers at this address

About NPI 1598454886

Breanna Tucker, RDN's National Provider Identifier is 1598454886, issued on May 3, 2023. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in South Bend, IN. The record was last updated on May 3, 2023.