Doctor Name: | CAROLYN ANDERSON |
NPI Number: | 1356762033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 3178 |
Business Practice Address: | 2200 University Ave W Ste 120 Saint Paul, MN - 551141844 |
Business Phone Number: | 6128705557 |
Business Fax Number: | 6128705491 |
Mailing Address: | Po Box 14909, MINNEAPOLIS |
State: | MN |
Postal Code: | 554140909 |
Phone Number: | 6128711145 |
Fax Number: | 6128705491 |
NPI Enumeration Date: | 12/23/2013 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 3178 |
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 |