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

Alexandria Bofferding

Individual provider Registered Dietitian · NPI 1821817206

Alexandria Bofferding is a Registered Dietitian OR Nutrition Professional in Maple Grove, Minnesota. Qualified in 2021, 5 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2024

Practice location Address checks out

10930 Glacier Ln N
Maple Grove, MN 55369-7557
Phone: (507) 828-3203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1821817206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address10930 Glacier Ln N, Maple Grove, MN 55369-7557

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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