Healthcare Provider Details

I. General information

NPI: 1033038294
Provider Name (Legal Business Name): THE NUTRITION PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 HEART RIVER DR S
MANDAN ND
58554-5801
US

IV. Provider business mailing address

1610 HEART RIVER DR S
MANDAN ND
58554-5801
US

V. Phone/Fax

Practice location:
  • Phone: 701-220-4421
  • Fax:
Mailing address:
  • Phone: 701-220-4421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: RACHEL IVERSON SCHAFER
Title or Position: OWNER
Credential: RD CSSD
Phone: 701-220-4421