Provider Demographics
NPI:1093327132
Name:NASHVILLE NUTRITION AND WEIGHT LOSS LLC
Entity Type:Organization
Organization Name:NASHVILLE NUTRITION AND WEIGHT LOSS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:PICOU
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:504-416-8987
Mailing Address - Street 1:491 BROADWELL DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-2208
Mailing Address - Country:US
Mailing Address - Phone:504-416-8987
Mailing Address - Fax:
Practice Address - Street 1:103 CONTINENTAL PL STE 120
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1086
Practice Address - Country:US
Practice Address - Phone:615-707-9698
Practice Address - Fax:615-219-1216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty