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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BROOKE LEIGH FREDRICKSON, LRD, CSG

Active

MRS. BROOKE LEIGH FREDRICKSON, LRD, CSG is a Registered Dietitian healthcare provider located in COOPERSTOWN, North Dakota. NPI 1053645317 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · COOPERSTOWN, ND

Registration Details

NPI Number
1053645317
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2009 (16.918221426328 yrs)
Last Updated
Sep 18, 2009
License
669 (ND)

Practice Information

Address
1200 ROBERTS AVE NE
COOPERSTOWN, ND, 584257101
Browse ND providers · Browse ZIP 58425
Phone
7017972221
Primary Specialty
Registered Dietitian
133V00000X
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.