NPI 1457543464

Mary D Wiersma, RN

Practitioner Nutrition Education Nutritionist Grand Forks, ND

Practice location

Address: 1200 S Columbia Rd, Grand Forks, ND 58206-6002
Phone: (701) 780-5000
Fax: (701) 780-1942
Mailing address: PO Box 6002, Grand Forks, ND 58206-6002

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence R-062311-5 (MN)

Other Nutritionist providers in North Dakota →

Registry record

NPI: 1457543464
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2007
Record last updated: 14 Aug 2007

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.