Provider Demographics
NPI:1437772811
Name:AS YOU ARE NUTRITION INC
Entity Type:Organization
Organization Name:AS YOU ARE NUTRITION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:WRYE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:707-200-1178
Mailing Address - Street 1:1443 MAIN ST STE 130B
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-1939
Mailing Address - Country:US
Mailing Address - Phone:707-200-1178
Mailing Address - Fax:707-847-8698
Practice Address - Street 1:1443 MAIN ST STE 130B
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-1939
Practice Address - Country:US
Practice Address - Phone:707-200-1178
Practice Address - Fax:707-847-8698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty