Jennifer L Guptail, RD | |
6401 France Ave S, Edina, MN 55435-2104 | |
(952) 924-5000 | |
Not Available |
Full Name | Jennifer L Guptail |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 6401 France Ave S, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255951950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 4272 (Minnesota) | Primary |
Provider Name | Park Nicollet Clinic |
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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 |
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Jennifer L Guptail, RD 2180 Pinehurst Dr, Chanhassen, MN 55317-4579 Ph: (612) 719-7774 | Jennifer L Guptail, RD 6401 France Ave S, Edina, MN 55435-2104 Ph: (952) 924-5000 |
Brittany Roley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3250 W 66th St, Edina, MN 55435 Phone: 651-447-6737 | |
Ms. Susan M Parks, RD,CSSD,LDN,CPT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7300 Metro Blvd, Suite 140, Edina, MN 55439 Phone: 651-592-7830 Fax: 651-405-3850 | |
Miss Taylor Cain, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3250 W 66th St Apt 548, Edina, MN 55435 Phone: 574-968-3506 | |
Amelia Lesher, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3250 W 66th St Apt 548, Edina, MN 55435 Phone: 515-979-4106 | |
Viverant, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5400 France Ave S, Edina, MN 55410 Phone: 952-835-4512 | |
Renewed Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5201 Eden Ave Ste 300, Edina, MN 55436 Phone: 320-293-2189 | |
Emily Madsen, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3250 W 66th St Apt 548, Edina, MN 55435 Phone: 651-447-6737 |