NPI 1174285803 · live from the CMS NPI Registry
Angela K. Brekken, EdD MS RD LD FAND
Dietitian, Registered in Bemidji, MN. National Provider Identifier 1174285803, active.
NPI record
| NPI | 1174285803 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1840 15th St Nw, Bemidji, MN 56601 |
| Practice phone | 218-209-8723 |
| Enumerated | October 11, 2021 |
| Last updated | October 11, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3020 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.