Doctor Name: | AMY PATEFIELD |
NPI Number: | 1215971213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 2319 |
Business Practice Address: | 1660 Highway 100 S Suite 250 St Louis Park, MN - 554161529 |
Business Phone Number: | 6516455323 |
Business Fax Number: | 9527465962 |
Mailing Address: | 2550 University Ave W, Suite 314n SAINT PAUL |
State: | MN |
Postal Code: | 551141052 |
Phone Number: | 6516455323 |
Fax Number: | 6516475135 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2319 |
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 |