| Doctor Name: | BETTEJANE KREMEN GOLDMAN |
| NPI Number: | 1528211836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., L.D. |
| License Number: | 23317 |
| Business Practice Address: | 4330 Cedar Lake Rd S St Louis Park, MN - 554163700 |
| Business Phone Number: | 9523813434 |
| Business Fax Number: | 9523771430 |
| Mailing Address: | 2641 Natchez Ave S, ST LOUIS PARK |
| State: | MN |
| Postal Code: | 554163946 |
| Phone Number: | 9529228865 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2008 |
| NPI Last Update Date: | 10/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 23317 |
| 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 |