Tracy Mindiola, RD

Registered Dietitian · Maple Grove, MN

Individual Active NPI

NPI number 1457084154

Practice location

12488 74TH Ave N
Maple Grove, MN 55369-5285
Phone
(763) 267-2015

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NPI record

NPI
1457084154
Entity type
Individual (Type 1)
Enumeration date
July 8, 2022
Last updated
September 12, 2023
Certified
September 12, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 4379 MN

About Tracy Mindiola

Tracy Mindiola, RD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 12488 74TH Ave N, Maple Grove, MN 55369-5285. The NPI number 1457084154 was assigned on July 8, 2022 and the record was last updated on September 12, 2023.

Tracy Mindiola lists a license in the registry: #4379 (MN) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Mindiola, RD?

The NPI number is 1457084154.

What is the phone number of Tracy Mindiola?

The phone number listed for the practice location is (763) 267-2015.

Where is Tracy Mindiola located?

12488 74TH Ave N, Maple Grove, MN 55369-5285.

What is the taxonomy code for Tracy Mindiola?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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