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Contact Information

AUTUMN ENLOE NUTRITION
14436 57TH ST N
OAK PARK HEIGHTS, MN55082
 Phone: 651-504-3118
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AUTUMN ENLOE NUTRITION

NPI Number 1114671336
LBN Legal business name AUTUMN ENLOE NUTRITION
Authorized official AUTUMN ENLOE - (REGISTERED DIETITIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2022
Last updated 02/07/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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