Basic Information
| Provider Information | |||||||||
| NPI: | 1194970038 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FUCHS | ||||||||
| FirstName: | JANELLE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3011 36TH AVE S SUITE #1 | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6124608559 | ||||||||
| FaxNumber: | 8889658966 | ||||||||
| Practice Location | |||||||||
| Address1: | 2805 CAMPUS DR STE 115 | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554412677 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635777800 | ||||||||
| FaxNumber: | 7635777855 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2008 | ||||||||
| LastUpdateDate: | 03/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 2782 | MN | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.