Healthcare Provider Details

I. General information

NPI: 1548464365
Provider Name (Legal Business Name): CHERI NESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 N 11TH ST
MONTEVIDEO MN
56265-1629
US

IV. Provider business mailing address

824 N 11TH ST
MONTEVIDEO MN
56265-1629
US

V. Phone/Fax

Practice location:
  • Phone: 320-269-8877
  • Fax:
Mailing address:
  • Phone: 320-269-8877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberN152
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: