NPI 1689159451 · live from the CMS NPI Registry
Katelyn Broz, RDN
Dietitian, Registered in Minneapolis, MN. National Provider Identifier 1689159451, active.
NPI record
| NPI | 1689159451 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 909 Fulton St Se, Minneapolis, MN 55455 |
| Practice phone | 612-672-7422 |
| Enumerated | September 27, 2018 |
| Last updated | February 4, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 4103 (MN) |
| Dietitian, Registered | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.