NPI 1740852243

Andrea Ballenthin, MS

Practitioner Nutritionist Woodbury, MN

Practice location

Address: 10609 Pinnacle Way, Woodbury, MN 55129-4281
Phone: (612) 719-0698

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1740852243
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2021
Record last updated: 14 Jul 2021

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.