Kari De Fouw, is a
Dietitian, Registered based in Zimmerman, Minnesota. Kari De Fouw is licensed to practice in NU (license number ) and her current practice location is
12703 289th Ave Nw, Zimmerman, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(414) 460-5154.
NPI number for Kari De Fouw is 1922817444 and her current mailing address is 12703 289th Ave Nw, Zimmerman, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922817444.
Healthcare Provider's Profile
| Full Name | Kari De Fouw |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 12703 289th Ave Nw, Zimmerman, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922817444
- Provider Enumeration Date: 12/31/2024
- Last Update Date: 08/04/2025
Medical Identifiers
Medical identifiers for Kari De Fouw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922817444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kari De Fouw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kari De Fouw, 12703 289th Ave Nw, Zimmerman, MN 55398-4674 Ph: (414) 460-5154 | Kari De Fouw, 12703 289th Ave Nw, Zimmerman, MN 55398-4674 Ph: (414) 460-5154 |
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