Mary W Ericksen in Saint Louis Park - Dietitian, Registered
Mary W Ericksen - NPI 1346218559
Mary W Ericksen is a Dietitian, Registered in Saint Louis Park, Minnesota. Mary W Ericksen practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary W Ericksen is 1346218559. The last update date is 2021-03-16.
Mary W Ericksen's current location address is 1665 Utica Ave S Ste 100, Saint Louis Park, Minnesota. You can contact this provider via phone number 9525412500 and fax number 9525412539. The mailing address for Mary W Ericksen is 1665 Utica Ave S Ste 100, Saint Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary W Ericksen |
|---|---|
| Address | 1665 Utica Ave S Ste 100, Saint Louis Park, Minnesota |
| Phone Number | 9525412500 |
| Fax Number | 9525412539 |
| Sole Proprietor | N |
| Credentials | RD LD |
NPI Number Detail
| NPI Number | 1346218559 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2021-03-16 |
Provider Mailing Address Detail
| Address | 1665 Utica Ave S Ste 100 |
|---|---|
| City | Saint Louis Park |
| State | Minnesota (MN) |
| Post Code | 554163476 |
| Phone Number | 9525412500 |
| Fax Number | 9525412539 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 1087 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Post Comment/ Review Below
What is the Mary W Ericksen's 1346218559?
The Mary W Ericksen's NPI (National Provider Identifier) Number is 1346218559. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary W Ericksen's physical address?
The Mary W Ericksen is physically located at 1665 Utica Ave S Ste 100, in the city of Saint Louis Park, MN, with the postal code 554163476.
What is Mary W Ericksen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary W Ericksen is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date was the 1346218559 assigned to Mary W Ericksen?
The Mary W Ericksen was issued its 1346218559 on 2006-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary W Ericksen most recently updated?
The details pertaining to the Mary W Ericksen, including its address, specialty, and other relevant information, were last refreshed on 2021-03-16.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY