Kara Carper

Individual provider Active NPI Nutritionist · Wayzata, MN

NPI 1235532201 · NPPES record last updated Oct 3, 2014

Key facts

NPI
1235532201
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
License
N199 (MN)
Practice address
1250 Wayzata Blvd E
Wayzata, MN 55391-1951
Phone
(952) 345-0766
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X N199 MN Yes

Addresses

Primary practice location

1250 Wayzata Blvd E
Wayzata, MN 55391-1951

Mailing address

45 Snelling Ave N
Saint Paul, MN 55104-6842

Other providers in Wayzata, MN

All providers in Wayzata, MN · Nutritionist in Minnesota

Sources for this page

Verify at the official NPI Registry.