NPI 1114671336 · live from the CMS NPI Registry
Autumn Enloe Nutrition
Dietitian, Registered in Oak Park Heights, MN. National Provider Identifier 1114671336, active.
NPI record
| NPI | 1114671336 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 14436 57th St N, Oak Park Heights, MN 55082 |
| Practice phone | 651-504-3118 |
| Mailing address | 14436 57th St N., Oak Park Heights, MN 55082 |
| Enumerated | February 7, 2022 |
| Last updated | February 7, 2022 |
| Authorized official | Autumn Enloe, Registered Dietitian |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.