Individual
LINDA NUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD, CDE
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6361
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0036
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12774
BLUE CROSS (LRD)
ND
01
—
14206
BLUE CROSS (CDE)
ND
05
—
5590910
—
SD
Enumeration date
09/25/2006
Last updated
07/08/2007
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