Individual provider · Type 1 NPI

Stephanie Lane Fennessey, MS, RD, LD, CDE

Registered Dietitian · Coon Rapids, MN

NPI number 1033374178 Active

Practice location

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841

Call (763) 780-9155 Map

Fax (763) 236-1066

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X2712 (MN)

Registered Dietitian: 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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1033374178

Stephanie Lane Fennessey, MS, RD, LD, CDE's National Provider Identifier is 1033374178, issued on Jul 28, 2008. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Feb 28, 2022.