NPI 1033374178

Stephanie Lane Fennessey, MSRDLDCDE

Practitioner Registered Dietitian Coon Rapids, MN

Practice location

Address: 9055 Springbrook Dr NW, Coon Rapids, MN 55433-5841
Phone: (763) 780-9155
Fax: (763) 236-1066
Mailing address: 2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2712 (MN)

Other Dietitian, Registered providers in Minnesota →

Registry record

NPI: 1033374178
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2008
Record last updated: 28 Feb 2022

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.