NPI 1619618055 · live from the CMS NPI Registry
Julie Dzik Anderson, RD
Dietitian, Registered in Chaska, MN. National Provider Identifier 1619618055, active.
NPI record
| NPI | 1619618055 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 111 Hundertmark Rd, Chaska, MN 55318 |
| Practice phone | 952-777-5778 |
| Mailing address | 14345 Guthrie Ave, Apple Valley, MN 55124 |
| Enumerated | April 6, 2022 |
| Last updated | April 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 14455 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.