IndividualActive
Amanda Wilson, REGISTERED DIETITIAN
NPI 1851803654 · Registered Dietitian · Crosby, MN
Provider details
- NPI number
- 1851803654
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- REGISTERED DIETITIAN
- Sex
- Female
- Sole proprietor
- No
- License
- 3785 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
320 E Main St
Crosby, MN 56441-1645
Phone: (218) 546-7000
Fax: (218) 546-4646
Approximate (ZIP-level) locationGet directions
Mailing address
320 E Main St
Crosby, MN 56441-1645
Registry dates
- Enumerated
- 2017-11-02
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.