Marianne Gronstal Campbell, RD
Dietitian, Registered, Nutrition, Renal in Omaha, NE. Individual provider (NPI-1).
NPI number1033279781
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1033279781
- Entity type
- Individual (NPI-1)
- Name
- Marianne Gronstal Campbell
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1005X | Dietitian, Registered, Nutrition, Renal | 334 | NE | Yes |
| 133VN1005X | Dietitian, Registered, Nutrition, Renal | 00025 | IA |
Practice location
5084 Ames AveOmaha, NE 68104-2323
Phone 402-451-7745 · Fax 402-451-8090
Mailing address
451 Frank StCouncil Bluffs, IA 51503-4551
Phone 712-322-7605
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