Provider Demographics
NPI:1386894699
Name:GRABITSKE, HOLLIE ANN (RD)
Entity type:Individual
Prefix:MRS
First Name:HOLLIE
Middle Name:ANN
Last Name:GRABITSKE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:HOLLIE
Other - Middle Name:ANN
Other - Last Name:RUSHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1700 UNIVERSITY AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3727
Mailing Address - Country:US
Mailing Address - Phone:651-232-5442
Mailing Address - Fax:
Practice Address - Street 1:1690 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 570
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3795
Practice Address - Country:US
Practice Address - Phone:651-232-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered