MEDICARE: STRENGTH IN NUTRITION

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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1043955420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRENGTH IN NUTRITION

Provider Business Mailing Address
First Line	:	3492 SAVANNAH AVE
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-4579
Country	:	US
Telephone Number	:	651-485-6761
Fax Number	:

Provider Business Practice Location Address
First Line	:	3492 SAVANNAH AVE
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-4579
Country	:	US
Telephone Number	:	651-370-0285
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	KIMBERLY DUFFY
Credential	:	RD, LD, CPT
Telephone Number	:	651-485-6761

Provider Enumeration Date	:	05/01/2022
Last Update Date	:	11/19/2025

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Directions to “STRENGTH IN NUTRITION ” Practice Location

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