Provider Demographics
NPI:1235993338
Name:NUTRITION COUNSELING OF NEBRASKA
Entity Type:Organization
Organization Name:NUTRITION COUNSELING OF NEBRASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LMNT
Authorized Official - Phone:402-320-0057
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREEK
Mailing Address - State:NE
Mailing Address - Zip Code:68016-0070
Mailing Address - Country:US
Mailing Address - Phone:402-320-0057
Mailing Address - Fax:866-441-1144
Practice Address - Street 1:417 MADISON CIR
Practice Address - Street 2:
Practice Address - City:CEDAR CREEK
Practice Address - State:NE
Practice Address - Zip Code:68016-2407
Practice Address - Country:US
Practice Address - Phone:402-320-0057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty