Provider Demographics
NPI:1326530320
Name:NORMALIZING NUTRITION, LLC
Entity Type:Organization
Organization Name:NORMALIZING NUTRITION, LLC
Other - Org Name:NORMALIZING NUTRITION, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ASHELY
Authorized Official - Last Name:CARAVELLA
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:732-784-7168
Mailing Address - Street 1:113 LYNCH RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2146
Mailing Address - Country:US
Mailing Address - Phone:732-687-0073
Mailing Address - Fax:
Practice Address - Street 1:43 N GILBERT ST STE 1
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4914
Practice Address - Country:US
Practice Address - Phone:732-784-7168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty