| Fernanda Matsuda, Llc | |
|
6400 Flying Cloud Dr Ste 213, Eden Prairie, MN 55344-3331 | |
| (612) 564-8101 | |
| Not Available |
| Full Name | Fernanda Matsuda, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 6400 Flying Cloud Dr Ste 213, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538752787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Fernanda Sena Matsuda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225621469 PECOS PAC ID: 4789033838 Enrollment ID: I20231214000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernanda Matsuda, Llc 6400 Flying Cloud Dr Ste 213, Eden Prairie, MN 55344-3331 Ph: (612) 564-8101 | Fernanda Matsuda, Llc 6400 Flying Cloud Dr Ste 213, Eden Prairie, MN 55344-3331 Ph: (612) 564-8101 |
Kelly Olzenak, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 612-619-9057 | |
Fernanda Sena Matsuda, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 6400 Flying Cloud Dr Ste 213, Eden Prairie, MN 55344 Phone: 612-564-8101 | |
Alison Purkey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 952-205-6883 | |
Kayla Huslebus, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9600 Squire Ln, Eden Prairie, MN 55347 Phone: 952-261-9843 | |
Katie Haarala, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14223 Valley View Rd, Eden Prairie, MN 55344 Phone: 763-221-1981 | |
Lindsey Metcalfe, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 6385 Old Shady Oak Rd, Eden Prairie, MN 55344 Phone: 612-638-2778 Fax: 612-206-8232 |