Individual provider · Type 1 NPI

Mackenzie Dougherty, RD, CD

Registered Dietitian · St. Paul, MN

NPI number 1053612283 Active

Practice location

2265 Como Ave
St. Paul, MN 55108-1737

Call (651) 645-5323 Map

Other practice locations

  • 600 Highland Ave, Mc 1510, Madison, WI 53792-0001 · (608) 890-8299

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XNone listed
Registered Dietitian Primary 133V00000X3882 (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 1053612283

Mackenzie Dougherty, RD, CD's National Provider Identifier is 1053612283, issued on Nov 4, 2010. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in St. Paul, MN. The record was last updated on Mar 17, 2018.