Personal Nutrition & Wellness INC
NPI #1013725340 in Saint Michael, Minnesota
Provider Information
- NPI Number
- 1013725340
- Entity Type
- Organization
- Organization Name
- Personal Nutrition & Wellness INC
- Primary Specialty
- Nutritionist - Nutrition, Education
- Enumeration Date
- Dec 19, 2024
- Last Updated
- Oct 17, 2025
Practice Location
- Address
- 4655 LANNON AVE NE
- City
- Saint Michael
- State
- Minnesota
- ZIP Code
- 55376-4613
- Phone
- (763) 300-4816
Authorized Official
- Name
- TIFFANY FLATEN, CNS, LN
- Title
- CEO/PRESIDENT
- Phone
- (763) 300-4816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
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| Dorie Marian Buck, C.N.H.P. | |
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