NPI 1336725977 · live from the CMS NPI Registry
Bailey Emma Benson, RD
Dietitian, Registered in Wadena, MN. National Provider Identifier 1336725977, active.
NPI record
| NPI | 1336725977 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4 Deerwood Ave Nw, Wadena, MN 56482 |
| Practice phone | 218-632-7113 |
| Mailing address | 40593 275th Ave, Pelican Rapids, MN 56572 |
| Enumerated | March 23, 2021 |
| Last updated | March 23, 2021 |
| Sole proprietor | No |
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.