NPI 1881600369 · live from the CMS NPI Registry
Jennifer Anne Blomberg, R.D., L.D.
Dietitian, Registered in Minneapolis, MN. National Provider Identifier 1881600369, active.
NPI record
| NPI | 1881600369 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1 Veterans Dr, Minneapolis, MN 55417 |
| Practice phone | 612-467-4374 |
| Mailing address | 6513 Bluestem Ln S, Cottage Grove, MN 55016 |
| Enumerated | August 1, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2119 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.