Individual
PHALEN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LN
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N239
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N239
LICENSE NUMBER
MN
Enumeration date
03/07/2023
Last updated
06/27/2024
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