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

MARY MAUREEN BAZILLE, RD

Active

MARY MAUREEN BAZILLE, RD is a Nutritionist healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1700042702 is currently active in the NPPES registry. Verify at CMS.

Nutritionist · MINNEAPOLIS, MN

Registration Details

NPI Number
1700042702
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2008 (17.997496573259 yrs)
Last Updated
Dec 28, 2010
License
994556 (VA)

Practice Information

Address
2450 RIVERSIDE AVE
MINNEAPOLIS, MN, 554541450
Browse MN providers · Browse ZIP 55454
Phone
6122734395
Primary Specialty
Nutritionist
133N00000X

Other Nutritionist Providers in MINNEAPOLIS, MN

Name Credential NPI
KAREN DIANE DOUGHERTY MS, LDN 1740247246
MRS. TERI LYNN ROSE MS, LN 1962830802
MIRANDA EBNER LN 1417320276
JESSICA LOUISE HAAS LN 1205348802
CHELSEA KAZMIERCZAK-GOETHEL MS, CNS, LN 1780383562
CARLEY ROLLINS CNS, LN 1770350332
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.