Doctor Name: | MS. JEANIE LYNN BECKER |
NPI Number: | 1770651812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 2581 |
Business Practice Address: | 500 Osborne Rd Ne Suite 200 Fridley, MN - 554322765 |
Business Phone Number: | 7632362045 |
Business Fax Number: | |
Mailing Address: | 55 W 96th St Apt 3l, BLOOMINGTON |
State: | MN |
Postal Code: | 554204357 |
Phone Number: | 6518957832 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2581 |
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 |