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NPI 1750765814 · live from the CMS NPI Registry

Jacklyn Barten

Dietitian, Registered in Minneapolis, MN. National Provider Identifier 1750765814, active.

NPI record

NPI1750765814 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location800 E 28th St, Minneapolis, MN 55407
Practice phone612-863-8631
EnumeratedJuly 17, 2015
Last updatedJuly 17, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.