NPI 1124723671 · live from the CMS NPI Registry
Nuha Abdelrahim, RDN
Dietitian, Registered in Coon Rapids, MN. National Provider Identifier 1124723671, active.
NPI record
| NPI | 1124723671 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 |
| Practice phone | 695-728-3901 |
| Mailing address | Po Box 43, Minneapolis, MN 55440 |
| Enumerated | April 4, 2023 |
| Last updated | October 25, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 164.007704 (IL) |
| Dietitian, Registered primary | 133V00000X | 4966 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.