NPI 1053645317

Brooke Leigh Fredrickson, LRDCSG

Practitioner Registered Dietitian Cooperstown, ND

Practice location

Address: 1200 Roberts Ave NE, Cooperstown, ND 58425-7101
Phone: (701) 797-2221
Mailing address: 80 County Road 19, Cooperstown, ND 58425-9168

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 669 (ND)

Other Dietitian, Registered providers in North Dakota →

Registry record

NPI: 1053645317
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2009
Record last updated: 18 Sep 2009

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.