NPI 1356792444 · live from the CMS NPI Registry
Andrew Akhaphong, RD, LD
Dietitian, Registered in Waconia, MN. National Provider Identifier 1356792444, active.
NPI record
| NPI | 1356792444 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 851 Marketplace Dr, Waconia, MN 55387 |
| Practice phone | 952-442-2512 |
| Mailing address | 1046 Aston Cir, Burnsville, MN 55337 |
| Enumerated | June 29, 2016 |
| Last updated | April 16, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3431 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.