NPI 1699028340 · live from the CMS NPI Registry
Kirsti Brunz, RD, LD
Dietitian, Registered in Burnsville, MN. National Provider Identifier 1699028340, active.
NPI record
| NPI | 1699028340 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 201 E Nicollet Blvd, Burnsville, MN 55337 |
| Practice phone | 952-892-2142 |
| Mailing address | 400 Ford Rd Apt 212, St Louis Park, MN 55426 |
| Enumerated | October 18, 2012 |
| Last updated | October 18, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1090315 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.