Nicole Doering, RD, LD | |
11157 Meadow View Ln, Maple Grove, MN 55311-7570 | |
(612) 719-0645 | |
Not Available |
Full Name | Nicole Doering |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 11157 Meadow View Ln, Maple Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033516489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 3048 (Minnesota) | Primary |
Provider Name | Nutritional Weight & Wellness Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700024890 PECOS PAC ID: 3577820703 Enrollment ID: O20171127001217 |
Mailing Address | Practice Location Address |
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Nicole Doering, RD, LD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: () - | Nicole Doering, RD, LD 11157 Meadow View Ln, Maple Grove, MN 55311-7570 Ph: (612) 719-0645 |
Persevere Wellness Llc Dietitian Medicare: Medicare Enrolled Practice Location: 12488 74th Ave N, Maple Grove, MN 55369 Phone: 763-267-2015 | |
Barbara I Benson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1073 | |
Jennifer Bremer, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Joy Nieves Anderson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-520-7870 Fax: 763-520-7580 | |
Carrie M Reynoso, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Mrs. Tracy Mindiola, RD Dietitian Medicare: Medicare Enrolled Practice Location: 12488 74th Ave N, Maple Grove, MN 55369 Phone: 763-267-2015 |