Individual
ELIZABETH JEAN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
701 PARK AVE, HENNEPIN COUNTY MEDICAL CENTER, MINNEAPOLIS, MN 55415-1623
(612) 873-3623
Mailing address
701 PARK AVENUE SOUTH - LSB1, HENNEPIN COUNTY MEDICAL CENTER, MINNEAPOLIS, MN 55415
(612) 873-3044
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
898265
ADA/CDR
—
Enumeration date
08/08/2008
Last updated
08/08/2008
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