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NPI Code Detail

MEDICARE: NATALIE NATION MPH, RD, LD

MEDICARE:   NATALIE  NATION  MPH, RD, LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian4682MN

General Provider Information

NPI Number : 1437808284
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE NATION MPH, RD, LD
Provider Business Mailing Address
First Line : 10000 PLEASANT AVE S
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55420-4706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 505 4TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1345
Country : US
Telephone Number : 612-348-6952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 03/21/2022

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Directions to “ NATALIE NATION MPH, RD, LD” Practice Location

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