Wellformed AI

NPI 1356762033 · live from the CMS NPI Registry

Carolyn Anderson, RD

Dietitian, Registered in Saint Paul, MN. National Provider Identifier 1356762033, active.

NPI record

NPI1356762033 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location2200 University Ave W Ste 120, Saint Paul, MN 55114
Practice phone612-870-5557
Mailing addressPo Box 14909, Minneapolis, MN 55414
EnumeratedDecember 23, 2013
Last updatedMarch 7, 2016
Sole proprietorNo
Other namesCarolyn Reiner

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X3178 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.