| Deirdre Nicole Mcpherson, RDN, LDN, CDCES | |
|
11475 Robinson Dr Nw, Coon Rapids, MN 55433-3746 | |
| (763) 587-9000 | |
| Not Available |
| Full Name | Deirdre Nicole Mcpherson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 11475 Robinson Dr Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932721610 | NPI | - | NPPES |
| 3465 | Other | MN | LICENSED DIETITIAN/LICENSED DIETITIAN NUTRITIONIST |
| 32100651 | Other | CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST | |
| 1092827 | Other | REGISTERED DIETITIAN/REGISTERED DIETITIAN NUTRITIONIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3465 (Minnesota) | Primary |
| Provider Name | North Memorial Health Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Deirdre Nicole Mcpherson, RDN, LDN, CDCES 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Deirdre Nicole Mcpherson, RDN, LDN, CDCES 11475 Robinson Dr Nw, Coon Rapids, MN 55433-3746 Ph: (763) 587-9000 |
Stephanie Lane Fennessey, MS, RD, LD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066 | |
Marissa M Oliver, RD Dietitian Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066 | |
Kelly J Coughlin, Dietitian Medicare: Medicare Enrolled Practice Location: 3960 Coon Rapids Blvd Nw Ste 220, Coon Rapids, MN 55433 Phone: 763-236-8438 | |
Nuha Abdelrahim, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 695-728-3901 | |
Ms. Susan Lee Demorlis, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Mercy Hospital -- Nutrition Services, Coon Rapids, MN 55433 Phone: 763-236-8704 | |
Beth Tuttle Maschoff, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3495 Northdale Blvd Nw Ste 100, Coon Rapids, MN 55448 Phone: 763-210-2608 | |
Mrs. Alyssa Marie Rosen, RD Dietitian Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-2045 |