NPI 1003544602
Persevere Wellness LLC
Practice location
- Address
- 12488 74th Ave N, Maple Grove, MN 55369-5285
- Phone
- (763) 267-2015
- Mailing address
- 13500 Grove Dr, Maple Grove, MN 55311-4689
Authorised official
- Name
- Tracy Mindiola
- Title
- Dietitian
- Phone
- (763) 267-2015
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1003544602
- Entity type
- Organization
- NPI issued
- 11 Aug 2022
- Record last updated
- 12 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.