NPI 1497157499 · live from the CMS NPI Registry
Shelly Brogni, R.D., L.D.
Dietitian, Registered in Saint Paul, MN. National Provider Identifier 1497157499, active.
NPI record
| NPI | 1497157499 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 225 Smith Ave N Ste 400, Saint Paul, MN 55102 |
| Practice phone | 651-290-0133 |
| Mailing address | 2925 Chicago Ave, Minneapolis, MN 55407 |
| Enumerated | September 22, 2014 |
| Last updated | July 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2471 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.