IndividualActive
Brooke Fredrickson, LRD, CSG
NPI 1053645317 · Registered Dietitian · Cooperstown, ND
Provider details
- NPI number
- 1053645317
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- LRD, CSG
- Sex
- Female
- Sole proprietor
- No
- License
- 669 (ND)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1200 Roberts Ave Ne
Cooperstown, ND 58425-7101
Phone: (701) 797-2221
Approximate (ZIP-level) locationGet directions
Mailing address
80 County Road 19
Cooperstown, ND 58425-9168
Registry dates
- Enumerated
- 2009-09-18
- Last updated
- 2009-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.