Diane M Reader, RD | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-7169 | |
(952) 993-0300 |
Full Name | Diane M Reader |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023049293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 1283 (Minnesota) | Primary |
Provider Name | Park Nicollet Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Diane M Reader, RD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Diane M Reader, RD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-7169 |
Arlene M Monk, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666 | |
Britta L Mattison, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3435 | |
Jacquelyn Warner, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 3525 Monterey Dr, St Louis Park, MN 55416 Phone: 952-993-6200 | |
Colleen Fischer, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393 | |
Lindsey Smith, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393 | |
Karen M Rowehl, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 210, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300 |