Provider Demographics
NPI:1710015722
Name:FREEMAN, BARBARA FREEMAN LOUISE (RD, LD)
Entity Type:Individual
Prefix:
First Name:BARBARA FREEMAN
Middle Name:LOUISE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18518 MAPLE LEAF DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-3325
Mailing Address - Country:US
Mailing Address - Phone:952-937-5351
Mailing Address - Fax:
Practice Address - Street 1:17819 HUTCHINS DR
Practice Address - Street 2:BAYBERRY CENTER
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-4106
Practice Address - Country:US
Practice Address - Phone:651-306-2214
Practice Address - Fax:952-470-1187
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1105133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered