Search › Minnesota › 133V00000X

Ellie Croaker, RD, LD

NPI 1063036820 · on the registry since 2020 · sole proprietor

Practice

Address
12161 63rd St Ne
Albertville, MN 55301
Phone
(612) 709-3491

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota