BRONWYN LISSA KNAEBE RD NPI 1821594656

NPI Information

NPI: 1821594656
Provider Name: BRONWYN LISSA KNAEBE, RD
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
1185 TOWN CENTRE DR STE 220
EAGAN, MN
ZIP 55123
Phone: (651) 379-1600
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Bronwyn Lissa Knaebe, RD is a nutrition and metabolic dietitian registered in Eagan, MN with 11 years of experience. Bronwyn Lissa Knaebe, RD NPI is 1821594656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1185 TOWN CENTRE DR STE 220
EAGAN, MN
ZIP 55123-186
Phone: (651) 379-1600

The enumeration date for this NPI number is 4/2/2018 and was last updated on 4/2/2018.

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	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	3968	MINNESOTA	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: 5/5/2024

NPI Synchronization or Removal

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