NPI 1003367673 · live from the CMS NPI Registry
Melanie Beasley, RD
Dietitian, Registered in Burnsville, MN. National Provider Identifier 1003367673, active.
NPI record
| NPI | 1003367673 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 461 Stonewood Ln, Burnsville, MN 55306 |
| Practice phone | 952-484-1137 |
| Enumerated | October 19, 2016 |
| Last updated | October 19, 2016 |
| Sole proprietor | No |
| Other names | Melanie Meyer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1830 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.