Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA ETTESTAD, RD, LD, CDE
ActiveTARA ETTESTAD, RD, LD, CDE is a Registered Dietitian healthcare provider located in BLOOMINGTON, Minnesota. NPI 1578991352 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1578991352
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2013 (12.798516030224 yrs)
- Last Updated
- Nov 2, 2016
- License
-
2873 (MN)
Practice Information
- Address
-
600 W 98TH STBLOOMINGTON, MN, 55420Browse MN providers · Browse ZIP 55420
- Phone
- 9528856235
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| SUZANNE C SORENSEN | RD, LD, CDE | 1639144512 |
| KATHERINE KLOUDA | RD | 1780602987 |
| CAROL DIANE SCHNEIDER | MS,RD,LD,CDE | 1164577110 |
| MRS. SANDRA RAE KELLY | R.D., L.D. | 1417175225 |
| TRACY LYNN NEWELL | RD LD | 1821258781 |
| RANDI GIBBS | R.D., L.D. | 1710397278 |
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.