Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VANESSA MACK, RD
Active Sole ProprietorVANESSA MACK, RD is a Registered Dietitian healthcare provider located in NICOLLET, Minnesota. NPI 1740977362 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · NICOLLET, MN
Registration Details
- NPI Number
- 1740977362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2023 (3.2786918542834 yrs)
- Last Updated
- Apr 24, 2023
- License
-
1040868 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
46114 506TH STNICOLLET, MN, 560744003Browse MN providers · Browse ZIP 56074
- Phone
- 5072761463
- Primary Specialty
-
Registered Dietitian
133V00000X
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.