NPI 1851769897 · live from the CMS NPI Registry
Nicole Benesh, RD, LD
Dietitian, Registered in Minneapolis, MN. National Provider Identifier 1851769897, active.
NPI record
| NPI | 1851769897 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 420 Delaware St Se, Nutrition Services Mmc 84, Minneapolis, MN 55455 |
| Practice phone | 612-273-5590 |
| Mailing address | 170 Elmer St Apt 10, Roseville, MN 55113 |
| Enumerated | September 8, 2015 |
| Last updated | September 8, 2016 |
| Sole proprietor | No |
| Other names | Nicole Kirkvold |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3590 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.