Organization · Type 2 NPI
Adult Medicine PA
Registered Dietitian · St. Paul, MN
Practice location
393 Dunlap St N Ste 235
St. Paul, MN 55104-4208
Fax (651) 644-8884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | N153 (MN) |
| Internal Medicine Physician | 207R00000X | 26646 (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 1740403393
Adult Medicine PA's National Provider Identifier is 1740403393, issued on Apr 11, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in St. Paul, MN. The record was last updated on Sep 11, 2025.