Organization Name: | ADULT MEDICINE PA |
NPI Number: | 1740403393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY A ANDERSON-UZPEN (PRESIDENT) |
Mailing Address: | 393 Dunlap St N Ste 235 Saint Paul |
State: | MN US |
Postal Code: | 551044208 |
Phone Number: | 6516447775 |
Fax Number: | 6516448884 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | N153 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |