National Provider Identifier
Brooke Rose Ibarra, MS, RD
Brooke Rose Ibarra, MS, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (909) 696-5094.
Profile Overview
- NPI
- 1932974623
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- November 22, 2023
- Last Updated
- November 22, 2023
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (909) 696-5094
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1932974623
- Entity Type
- Individual
- Last Name
- Ibarra
- First Name
- Brooke
- Middle Name
- Rose
- Credential
- MS, RD
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (909) 696-5094
- Enumeration Date
- November 22, 2023
- Last Updated
- November 22, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 22, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)