Healthcare Provider Details

I. General information

NPI: 1437799988
Provider Name (Legal Business Name): HEALTHIER PEOPLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 WAYZATA BLVD STE 700
ST LOUIS PARK MN
55416-1233
US

IV. Provider business mailing address

5775 WAYZATA BLVD STE 700
ST LOUIS PARK MN
55416-1233
US

V. Phone/Fax

Practice location:
  • Phone: 651-208-1275
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: SARA PARKER
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 651-208-1275