Doctor Name: | DANIELLE TRETBAR |
NPI Number: | 1801295217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1105486 |
Business Practice Address: | 705 Pleasant Ave S Park Rapids, MN - 564701440 |
Business Phone Number: | 2187322800 |
Business Fax Number: | |
Mailing Address: | Po Box 6001, FARGO |
State: | ND |
Postal Code: | 581086001 |
Phone Number: | 7013648000 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2014 |
NPI Last Update Date: | 08/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1105486 |
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 |