Jordana Schreiner

Individual provider Active NPI Registered Dietitian · Waseca, MN

NPI 1962809707 · NPPES record last updated Nov 21, 2014

Key facts

NPI
1962809707
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
3357 (MN)
Practice address
1230 State St N
Waseca, MN 56093-2706
Phone
(507) 835-8030
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3357MNMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3357 MN Yes

Addresses

Primary practice location

1230 State St N
Waseca, MN 56093-2706

Mailing address

1230 State St N
Waseca, MN 56093-2706

Other providers in Waseca, MN

All providers in Waseca, MN · Registered Dietitian in Minnesota

Sources for this page

Verify at the official NPI Registry.