Doctor Name: | REBECCA A DRISCOLL |
NPI Number: | 1154364602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1983 |
Business Practice Address: | 21 Dorset Rd Mendota Heights, MN - 551181914 |
Business Phone Number: | 6512768018 |
Business Fax Number: | |
Mailing Address: | 1670 Robert St S # 129, WEST ST PAUL |
State: | MN |
Postal Code: | 551183918 |
Phone Number: | 6512768018 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 05/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1983 |
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 |