Provider Demographics
NPI:1225714025
Name:INTEGRATING NUTRITION LLC
Entity Type:Organization
Organization Name:INTEGRATING NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUENDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, CSO
Authorized Official - Phone:206-670-0118
Mailing Address - Street 1:100016 EDMONDS WAY
Mailing Address - Street 2:SUITE C-171
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020
Mailing Address - Country:US
Mailing Address - Phone:206-670-0118
Mailing Address - Fax:206-267-0073
Practice Address - Street 1:6522 N FREMONT AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103
Practice Address - Country:US
Practice Address - Phone:206-670-0118
Practice Address - Fax:206-267-0073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty