IndividualActive
Miranda Ebner, LN
NPI 1417320276 · Nutritionist · Minneapolis, MN
Provider details
- NPI number
- 1417320276
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LN
- Sex
- Female
- Sole proprietor
- Yes
- License
- N217 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
5739 Garfield Ave
Minneapolis, MN 55419-1715
Phone: (612) 440-2415
Approximate (ZIP-level) locationGet directions
Mailing address
5739 Garfield Ave
Minneapolis, MN 55419-1715
Registry dates
- Enumerated
- 2015-11-02
- Last updated
- 2022-09-17
- Certified
- 2022-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.