Individual
NICOLE SELSTAD EIKENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
905 JEFFERSON AVE STE 300, SAINT PAUL, MN 55102-4740
(651) 383-5997
(877) 533-1363
Mailing address
1784 HAMPSHIRE AVE, SAINT PAUL, MN 55116-2478
(612) 720-1625
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
N205
MN
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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