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

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Registered Dietitian · MINNEAPOLIS, MN

Registration Details

NPI Number
1598504789
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2024 (1.9232078650515 yrs)
Last Updated
May 20, 2024
Licenses
5177 (MN)
5177 (MN)

Practice Information

Address
2450 RIVERSIDE AVE
MINNEAPOLIS, MN, 554541450
Browse MN providers · Browse ZIP 55454
Phone
6123655156
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in MINNEAPOLIS, MN

Name Credential NPI
NANCY G GORDON RD LD CDE 1215902192
HEIDI JO GREENWALDT MS, RD, LD, CNSD 1891760799
HEIDI L GANZER R.D. 1609837848
BHASKARANI JASTHI RD 1306802160
NANCY STIRRAT 1891751152
LAURIE ANN ASHWORTH RD 1205893047
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.