Provider Demographics
NPI:1407032600
Name:NUTRITION WORKS, INC.
Entity Type:Organization
Organization Name:NUTRITION WORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARNER LINK
Authorized Official - Suffix:
Authorized Official - Credentials:MS RD LDN CDE
Authorized Official - Phone:252-223-3914
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28570-0160
Mailing Address - Country:US
Mailing Address - Phone:252-223-3914
Mailing Address - Fax:252-223-3905
Practice Address - Street 1:361B HOWARD BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NC
Practice Address - Zip Code:28570-0160
Practice Address - Country:US
Practice Address - Phone:252-223-3914
Practice Address - Fax:252-223-3905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC133V00000X
NCL000333133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP67212Medicare UPIN