Provider Demographics
NPI:1346677762
Name:APR NUTRITION CONSULTANTS, LLC
Entity Type:Organization
Organization Name:APR NUTRITION CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:POHLEY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RD, LD
Authorized Official - Phone:208-724-2815
Mailing Address - Street 1:5950 STERLING LANE
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83703
Mailing Address - Country:US
Mailing Address - Phone:208-724-2815
Mailing Address - Fax:866-372-4318
Practice Address - Street 1:11197 W FAIRVIEW
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-7935
Practice Address - Country:US
Practice Address - Phone:208-724-2815
Practice Address - Fax:866-372-4318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-342133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty