Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nourishing Waves Nutrition PLLC

Organization Registered Dietitian · NPI 1528822624

Nourishing Waves Nutrition PLLC is a Registered Dietitian in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2124 Dupont Ave S Ste 202
Minneapolis, MN 55405-2719
Phone: (952) 358-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1528822624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annie Clarkin — Owner · (952) 358-1414
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 18, 2024
Certification dateFebruary 18, 2024
Mailing address4145 42nd Ave S Unit 2, Minneapolis, MN 55406-3530

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