Organization
NOURISHING WAVES NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE CLARKIN RDN, LD (OWNER)
(952) 358-1414
Entity
Organization
Contact information
Practice address
2124 DUPONT AVE S STE 202, MINNEAPOLIS, MN 55405-2719
(952) 358-1414
Mailing address
4145 42ND AVE S UNIT 2, MINNEAPOLIS, MN 55406-3530
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/18/2024
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