NPI 1720228034 · live from the CMS NPI Registry
Jill R Braaten, RD
Dietitian, Registered in Lake City, MN. National Provider Identifier 1720228034, active.
NPI record
| NPI | 1720228034 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 500 W Grant St, Lake City, MN 55041 |
| Practice phone | 651-345-3321 |
| Enumerated | February 26, 2009 |
| Last updated | February 26, 2009 |
| Sole proprietor | No |
| Other names | Jill Braaten |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2368 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.