BRONWYN LISSA KNAEBE


Address: 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186
Phone: 6513791600

BRONWYN LISSA KNAEBE (NPI# 1821594656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821594656
Entity Type Individual
Full Name BRONWYN LISSA KNAEBE
Credential RD
Practice Address 1185 Town Centre Dr Ste 220
Eagan
MN 55123-1186
Practice Telephone 6513791600
Mailing Telephone 6513791600
Enumeration Date 2018-04-02
Last Update Date 2018-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
3968 MN Dietary & Nutritional Service Providers

Office Location

Street Address 1185 TOWN CENTRE DR STE 220
City EAGAN
State MN
Zip Code 55123-1186

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992241590 Andrea Pierson Registered Nurse 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 2017-01-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053828467 Hilltop Family Chiropractic Center Pa Chiropractor 1121 Town Centre Drive Suite 202, Eagan, MN 55123 2018-01-08
1922452507 Jacob Zimmerman Counselor 3450 O'leary Ln., Eagan, MN 55123 2016-04-20
1316320971 K-squared Fitness, L.L.C. Public Health or Welfare 1100 Cliff Rd, Eagan, MN 55123 2015-07-01
1346683687 Joshua M Dorn Allergy & Immunology 3460 Promenade Ave, Eagan, MN 55123 2013-04-16
1700172350 Mary Christine Mcnabney Nurse Practitioner 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 2011-06-22
1033353669 Todd Borstad Social Worker 3450 O'leary Lane, Eagan, MN 55123 2009-04-27
1821025271 Mngi Endoscopy LLC Clinic/Center 1185 Town Centre Drive, Eagan, MN 55123 2006-06-28
1780620120 Cindy Eileen Wood Audiologist 3440 Oleary Lane, 240, Eagan, MN 55123 2006-06-22
1609845742 Jeffery R Dichter Internal Medicine 849 Govern Circle, Saint Paul, MN 55123 2006-03-14
1891269155 Elise Broderick Quam Social Worker 3450 Oleary Ln, Eagan, MN 55123 2019-01-18
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740229095 Jessica Quinonez-weislow Dietitian, Registered 880 Blue Gentian Rd, Suite 150, Eagan, MN 55121-1669 2006-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073085437 Sarah Pavelka Dietitian, Registered 8634 Carriage Hill Ct, Savage, MN 55378-2373 2018-12-26
1558884791 Mn Weight Control Centers Inc. Dietitian, Registered 3495 Northdale Blvd Nw Ste 101, Coon Rapids, MN 55448-6713 2017-07-19
1366890956 Nutrition Proportion Dietitian, Registered 1238 Woodley St E, Northfield, MN 55057-2956 2016-05-25
1699714923 Sara Johnson Dietitian, Registered 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 2006-06-05
1609334739 Susan Kay Raatz Dietitian, Registered 1539 Grand Ave, Saint Paul, MN 55105-2229 2019-03-07
1649620592 Amy Luther Dietitian, Registered 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2016-06-21
1124406848 Heather Erickson Dietitian, Registered 320 E Main St, Crosby, MN 56441-1645 2015-05-14
1184986010 Kayley L Gamm Dietitian, Registered 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 2012-06-15
1780860809 Danielle Morse Dietitian, Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2008-01-18
1255408951 Eat Well Nutrition Therapy, LLC Dietitian, Registered 202 1/2 N Cedar Ave, Owatonna, MN 55060-2392 2006-11-29
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Competitor

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City EAGAN
Zip Code 55123

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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