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Tami Michelle Carpenter, RDN, LD, CDE

Dietitian, Registered in Burnsville, MN. Individual provider (NPI-1).

NPI number1942333992
StatusActive
Last updated in NPPESNov 26, 2014

Details

NPI
1942333992
Entity type
Individual (NPI-1)
Name
Tami Michelle Carpenter
Credential
RDN, LD, CDE
Sex
Female
Sole proprietor
No
Enumeration date
Mar 13, 2007
Last updated
Nov 26, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered2445MNYes

Practice location

303 E Nicollet Blvd
Suite 200
Burnsville, MN 55337-4522

Phone 952-460-4013

Mailing address

303 E Nicollet Blvd
Suite 200
Burnsville, MN 55337-4522

Phone 952-460-4013

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