Provider Demographics
NPI:1437477049
Name:MNA NUTRITION CONSULTING SERVICES
Entity Type:Organization
Organization Name:MNA NUTRITION CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD/N
Authorized Official - Phone:813-408-1737
Mailing Address - Street 1:8105 COLONIAL VILLAGE DR
Mailing Address - Street 2:STE 203
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-6805
Mailing Address - Country:US
Mailing Address - Phone:813-408-1737
Mailing Address - Fax:
Practice Address - Street 1:8105 COLONIAL VILLAGE DR
Practice Address - Street 2:STE 203
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-6805
Practice Address - Country:US
Practice Address - Phone:813-408-1737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL955785133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty