NPI 1922647965 · live from the CMS NPI Registry
Elise Frances Bartelds, RD, LD
Dietitian, Registered in Lakeville, MN. National Provider Identifier 1922647965, active.
NPI record
| NPI | 1922647965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 17398 Eastwood Ave, Lakeville, MN 55044 |
| Practice phone | 612-618-3123 |
| Mailing address | 608 Crystal Lake Rd E, Burnsville, MN 55306 |
| Enumerated | December 21, 2019 |
| Last updated | April 18, 2022 |
| Sole proprietor | No |
| Other names | Elise Verdegan |
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.