YOUTH DETERMINED TO SUCCEED NPI 1538403365

NPI Information

NPI: 1538403365
Provider Name: YOUTH DETERMINED TO SUCCEED
Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
3333 N 4TH ST
MINNEAPOLIS, MN
ZIP 55412
Phone: (612) 486-6720
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YOUTH DETERMINED TO SUCCEED is a nutrition and education nutritionist in Minneapolis, MN. YOUTH DETERMINED TO SUCCEED NPI is 1538403365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3333 N 4TH ST
MINNEAPOLIS, MN
ZIP 55412-615
Phone: (612) 486-6720

The provider's authorized official is Melvin Anderson .
The authorized official title is Executive Officer and has the following contact phone number (612) 486-6730.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 3/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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