Individual
WENDY JEAN OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
45 SNELLING AVE N, SAINT PAUL, MN 55104-6842
(651) 699-3438
Mailing address
45 SNELLING AVE N, SAINT PAUL, MN 55104-6842
(651) 699-3438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
859116
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700024890
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/08/2017
Last updated
06/11/2019
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