Organization
SIMPLY MINDFUL NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MACKINZIE HINDERAKER MS, RD, LD (OWNER, REGISTERED DIETITIAN)
(515) 231-3148
Entity
Organization
Contact information
Practice address
527 BROAD ST, STORY CITY, IA 50248-1133
(515) 230-6644
(515) 335-2081
Mailing address
527 BROAD ST, STORY CITY, IA 50248-1133
(515) 230-6644
(515) 335-2081
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
09/21/2023
Last updated
11/14/2023
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