Basic Information
| Provider Information | |||||||||
| NPI: | 1548464365 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NESS | ||||||||
| FirstName: | CHERI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 824 N 11TH ST | ||||||||
| Address2: | |||||||||
| City: | MONTEVIDEO | ||||||||
| State: | MN | ||||||||
| PostalCode: | 562651629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202698877 | ||||||||
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| Practice Location | |||||||||
| Address1: | 824 N 11TH ST | ||||||||
| Address2: | |||||||||
| City: | MONTEVIDEO | ||||||||
| State: | MN | ||||||||
| PostalCode: | 562651629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202698877 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | N152 | MN | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.