Individual provider · Type 1 NPI
Mary D. Wiersma, RN
Nutrition Education Nutritionist · Grand Forks, ND
NPI number
1457543464
Active
Practice location
1200 S Columbia Rd
Grand Forks, ND 58206-6002
Fax (701) 780-1942
Mailing address
PO Box 6002
Grand Forks, ND 58206-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | R-062311-5 (MN) |
Nutrition Education Nutritionist: Definition to come...
About NPI 1457543464
Mary D. Wiersma, RN's National Provider Identifier is 1457543464, issued on Aug 14, 2007. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Grand Forks, ND. The record was last updated on Aug 14, 2007.