Renewed Nutrition LLC
Dietitian, Registered in Edina, MN. Organization (NPI-2).
NPI number1104690486
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1104690486
- Entity type
- Organization (NPI-2)
- Legal business name
- Renewed Nutrition LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2023
- Certification date
- Dec 8, 2021
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
5201 Eden Ave Ste 300Edina, MN 55436-2315
Phone 320-293-2189
Mailing address
3144 Chowen Ave S Apt 305Minneapolis, MN 55416-5449
Phone 320-293-2189
Authorized official
Bailey Weirens
Registered Dietitian/Owner
3202932189
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