NPI 1700042702

Mary Maureen Bazille, RD

Practitioner Nutritionist Minneapolis, MN

Practice location

Address: 2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone: (612) 273-4395

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 994556 (VA)

Other Nutritionist providers in Minnesota →

Registry record

NPI: 1700042702
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2008
Record last updated: 28 Dec 2010

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.