NPI 1407264146 · live from the CMS NPI Registry
Betty Bajwa, R.D., L.D., C.D.E.
Dietitian, Registered in St Louis Park, MN. National Provider Identifier 1407264146, active.
NPI record
| NPI | 1407264146 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3800 Park Nicollet Blvd, St Louis Park, MN 55416 |
| Practice phone | 952-993-3102 |
| Enumerated | July 25, 2014 |
| Last updated | July 25, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1013 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.