Provider Demographics
NPI:1639910128
Name:HUHLEIN, HOLLY (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:HUHLEIN
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 FORREST HEIGHTS DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-3740
Mailing Address - Country:US
Mailing Address - Phone:256-529-7079
Mailing Address - Fax:
Practice Address - Street 1:3250 WEST 66TH STREET
Practice Address - Street 2:UNIT 548
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5514
Practice Address - Country:US
Practice Address - Phone:651-447-6737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5270133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered