NPI 1821817206 · live from the CMS NPI Registry
Alexandria Bofferding
Dietitian, Registered in Maple Grove, MN. National Provider Identifier 1821817206, active.
NPI record
| NPI | 1821817206 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 10930 Glacier Ln N, Maple Grove, MN 55369 |
| Practice phone | 507-828-3203 |
| Enumerated | October 3, 2024 |
| Last updated | October 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.