Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA MARIE GANGESTAD, RDN
Active Sole ProprietorTINA MARIE GANGESTAD, RDN is a Registered Dietitian healthcare provider located in BRAINERD, Minnesota. NPI 1518522812 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BRAINERD, MN
Registration Details
- NPI Number
- 1518522812
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2019 (7.2564594785472 yrs)
- Last Updated
- May 2, 2019
- License
-
3395 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3508 COUNTY ROAD 130BRAINERD, MN, 564011433Browse MN providers · Browse ZIP 56401
- Phone
- 2183305606
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in BRAINERD, MN
| Name | Credential | NPI |
|---|---|---|
| TERESA FARRELL | — | 1104804350 |
| KAREN RENEE MARSCHEL | RD | 1629045604 |
| MRS. DENISE ANN CLEVELAND | MA, RD, LD | 1801977053 |
| MARY LANGE | RD | 1386704237 |
| MRS. MARY JO AMBROZ | RD | 1649330176 |
| MS. MICHELLE PELKEY | RD | 1033259163 |
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.