NPI 1689729659 · live from the CMS NPI Registry
Carol Marie Brunzell, RD,LDE,CDE
Dietitian, Registered in Minneapolis, MN. National Provider Identifier 1689729659, active.
NPI record
| NPI | 1689729659 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 516 Delaware St Se, Mmc 88, Minneapolis, MN 55455 |
| Practice phone | 612-626-3829 |
| Mailing address | 10035 Conrad Ave, Inver Grove Heights, MN 55076 |
| Enumerated | January 23, 2007 |
| Last updated | March 15, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 724205 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.