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

ELLIE LYNN CROAKER, RD, LD

Active Sole Proprietor

ELLIE LYNN CROAKER, RD, LD is a Registered Dietitian healthcare provider located in ALBERTVILLE, Minnesota. NPI 1063036820 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · ALBERTVILLE, MN

Registration Details

NPI Number
1063036820
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2020 (6.1632567876328 yrs)
Last Updated
May 13, 2025
Sole Proprietor
Yes

Practice Information

Address
12161 63RD ST NE
ALBERTVILLE, MN, 553014627
Browse MN providers · Browse ZIP 55301
Phone
6127093491
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in ALBERTVILLE, MN

Name Credential NPI
AMY MICHELLE GOBLIRSCH RDN 1053936591
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.