Stephanie Lane Fennessey in Coon Rapids - Dietitian, Registered
Stephanie Lane Fennessey - NPI 1033374178
Stephanie Lane Fennessey is a Dietitian, Registered in Coon Rapids, Minnesota. Stephanie Lane Fennessey practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Stephanie Lane Fennessey is 1033374178. The last update date is 2022-02-28.
Stephanie Lane Fennessey's current location address is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637809155 and fax number 7632361066. The mailing address for Stephanie Lane Fennessey is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Lane Fennessey |
|---|---|
| Address | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
| Phone Number | 7637809155 |
| Fax Number | 7632361066 |
| Sole Proprietor | N |
| Credentials | MS, RD, LD |
NPI Number Detail
| NPI Number | 1033374178 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2022-02-28 |
Provider Mailing Address Detail
| Address | 9055 Springbrook Dr Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554335841 |
| Phone Number | 7637809155 |
| Fax Number | 7632361066 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 2712 |
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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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What is the unique 10-digit identification code issued to Stephanie Lane Fennessey by the Centers for Medicare & Medicaid Services?
The Stephanie Lane Fennessey has been assigned the NPI (National Provider Identifier) 1033374178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Stephanie Lane Fennessey is physically located?
The Stephanie Lane Fennessey is situated at the following address: 9055 Springbrook Dr Nw, Coon Rapids, MN 554335841.
What is Stephanie Lane Fennessey's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephanie Lane Fennessey is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033374178 to Stephanie Lane Fennessey?
The Centers for Medicare & Medicaid Services originally issued the 1033374178 to Stephanie Lane Fennessey on 2008-07-28.
As of what date were the details pertaining to Stephanie Lane Fennessey last refreshed?
The information related to the Stephanie Lane Fennessey, including its address, specialty, and other relevant details, was last updated on 2022-02-28.