| Healthenutrifit Llc | |
|
750 Main St, Suite 100, Mendota Heights, MN 55118-3764 | |
| (651) 592-7830 | |
| (651) 405-3850 |
| Full Name | Healthenutrifit Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 750 Main St, Mendota Heights, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225207343 | NPI | - | NPPES |
| 400A2PA | Other | MN | BCBS OF MN |
| 491211000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (NU) | Secondary |
| 172V00000X | Community Health Worker | (NU) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Healthenutrifit Llc 2282 Field Stone Drive, Mendota Heights, MN 55120-1918 Ph: (651) 592-7830 | Healthenutrifit Llc 750 Main St, Suite 100, Mendota Heights, MN 55118-3764 Ph: (651) 592-7830 |
Kimberly O'brien, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2356 Apache Ct, Mendota Heights, MN 55120 Phone: 651-405-8712 |
Rebecca A Driscoll, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 21 Dorset Rd, Mendota Heights, MN 55118 Phone: 651-276-8018 |