NPI 1053570580

Elizabeth a Christopherson

Practitioner Registered Dietetic Technician St Louis Park, MN

Practice location

Address: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: (952) 993-6200
Mailing address: 6465 Wayzata Blvd Suite 210, St Louis Park, MN 55426

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 1052 (MN)

Other Dietetic Technician, Registered providers in Minnesota →

Registry record

NPI: 1053570580
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2008
Record last updated: 9 Jun 2008

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.