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Rachel Fog, RD,LD,CDE
Pediatric Nutrition Registered Dietitian in Maple Grove, Minnesota
NPI 1407139868

Rachel Fog is a Pediatric Nutrition Registered Dietitian based in Maple Grove, MN and is specialized in Nutrition, Pediatric. Rachel Fog practices in Maple Grove, MN and has the professional credentials of RD,LD,CDE. The NPI Number for Rachel Fog is 1407139868 and holds a License No. 3087 (Minnesota).

The current practice location address for Rachel Fog is 14500 99Th Ave N, Maple Grove, MN and can be reached out via phone at 763-898-1000. You can also correspond with Rachel Fog through the mailing address at 14500 99TH AVE N, MAPLE GROVE, MN - 55369-4730 (mailing address contact number: 763-898-1000).

Location: 14500 99Th Ave N, Maple Grove, MN, 55369-4730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407139868
Provider Name
Rachel Fog
Credential
RD,LD,CDE
Provider Entity Type
Individual
Gender
Female
Address
14500 99Th Ave N, Maple Grove, MN, 55369-4730
Phone Number
763-898-1000
Fax Number
Provider Enumeration Date
09/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14500 99Th Ave N
City
Maple Grove
State
Minnesota
Zip
55369-4730
Phone Number
763-898-1000
Fax Number
person
Provider Business Mailing Address Details
Address
14500 99Th Ave N
City
Maple Grove
State
Minnesota
Zip
55369-4730
Phone Number
763-898-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
3087 (Minnesota)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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