Doctor Name: | ANGELA STEPHENS |
NPI Number: | 1134523483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3324 |
Business Practice Address: | 910 E 26th St Suites 100-200 Minneapolis, MN - 554044526 |
Business Phone Number: | 6128846300 |
Business Fax Number: | 6128846363 |
Mailing Address: | 910 E 26th St, Suites 100-200 MINNEAPOLIS |
State: | MN |
Postal Code: | 554044526 |
Phone Number: | 6128846300 |
Fax Number: | 6128846363 |
NPI Enumeration Date: | 10/15/2014 |
NPI Last Update Date: | 10/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 3324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |