IndividualActive
Alyssa Fedor, MS RD
NPI 1174199798 · Registered Dietitian · Stillwater, MN
Provider details
- NPI number
- 1174199798
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS RD
- Sex
- Female
- Sole proprietor
- No
- License
- 3474 (MN)
Mailing address
927 Churchill St W
Stillwater, MN 55082-6605
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.