Individual
TWYLA J ASP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595
Mailing address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
R147001-1
MN
133V00000X
Registered Dietitian
R147001-1
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R 147001-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25823
NDBS #
MN
01
—
DA90201015504
PREFERRED ONE #
MN
Enumeration date
06/23/2006
Last updated
12/31/2007
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