Individual
KRISTINA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1733 ORCHARD DR, WOODBURY, MN 55125-8647
(612) 499-6015
Mailing address
1733 ORCHARD DR, WOODBURY, MN 55125-8647
(612) 499-6015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0836
SD
133V00000X
Registered Dietitian
112011
IA
133V00000X
Registered Dietitian
1632
NE
133V00000X
Registered Dietitian
164.008826
IL
133V00000X
Registered Dietitian
2022013309
MO
133V00000X
Registered Dietitian
2718
KS
133V00000X
Registered Dietitian
3861
WI
133V00000X
Registered Dietitian
4110
MN
133V00000X
Registered Dietitian
Primary
DT88512
TX
133V00000X
Registered Dietitian
—
MN
Other
Enumeration date
05/28/2019
Last updated
04/19/2023
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