Provider Demographics
NPI:1043617111
Name:INSPIRE NUTRITION, INC.
Entity Type:Organization
Organization Name:INSPIRE NUTRITION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZETTERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:215-704-4230
Mailing Address - Street 1:650 DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9618
Mailing Address - Country:US
Mailing Address - Phone:215-704-4230
Mailing Address - Fax:215-598-7755
Practice Address - Street 1:650 DURHAM RD
Practice Address - Street 2:
Practice Address - City:WRIGHTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-9618
Practice Address - Country:US
Practice Address - Phone:215-704-4230
Practice Address - Fax:215-598-7755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003429133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty