Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE LANE FENNESSEY, MS, RD, LD, CDE
ActiveSTEPHANIE LANE FENNESSEY, MS, RD, LD, CDE is a Registered Dietitian healthcare provider located in COON RAPIDS, Minnesota. NPI 1033374178 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · COON RAPIDS, MN
Registration Details
- NPI Number
- 1033374178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2008 (18.003032143752 yrs)
- Last Updated
- Feb 28, 2022
- License
-
2712 (MN)
Practice Information
- Address
-
9055 SPRINGBROOK DR NWCOON RAPIDS, MN, 554335841Browse MN providers · Browse ZIP 55433
- Phone
- 7637809155
- Fax
- 7632361066
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| KELLY J COUGHLIN | — | 1124018676 |
| KIM T FOX | RD, LD, CDE | 1760449524 |
| TRACIE L SWEARINGEN | RD | 1497701601 |
| MS. SUSAN LEE DEMORLIS | RD, LD, CDE | 1144354176 |
| MRS. CARA ELLEN WALCHECK | R.D., CDE | 1114192275 |
| MS. ANNE ELIZABETH BECHTEL | RDN | 1437675873 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.