NPI 1275779902 · live from the CMS NPI Registry
Andrea Arvold, RD
Dietitian, Registered in St Louis Park, MN. National Provider Identifier 1275779902, active.
NPI record
| NPI | 1275779902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426 |
| Practice phone | 952-993-6200 |
| Enumerated | December 31, 2008 |
| Last updated | December 31, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2764 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.