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

Alyssa Fedor, MSRD

Individual provider Registered Dietitian · NPI 1174199798

Alyssa Fedor, MSRD is a Registered Dietitian in Stillwater, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

927 Churchill St W
Stillwater, MN 55082-6605
Phone: (651) 430-4602
Show map & directions

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

Additional practice locations (1)

  • 927 Churchill St W, Stillwater, MN 55082-6605 — (651) 430-4602

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 3474 (MN)

Record details

NPI number1174199798
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address927 Churchill St W, Stillwater, MN 55082-6605

Other providers in Stillwater