IndividualActive
Mary Wiersma, RN
NPI 1457543464 · Nutrition Education Nutritionist · Grand Forks, ND
Provider details
- NPI number
- 1457543464
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- R-062311-5 (MN)
Practice location
1200 S Columbia Rd
Grand Forks, ND 58206-6002
Phone: (701) 780-5000
Fax: (701) 780-1942
Mailing address
Po Box 6002
Grand Forks, ND 58206-6002
Registry dates
- Enumerated
- 2007-08-14
- Last updated
- 2007-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.