Provider Demographics
NPI:1437808615
Name:CAROLINE PULLEN NUTRITION
Entity Type:Organization
Organization Name:CAROLINE PULLEN NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:CROW
Authorized Official - Last Name:PULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:205-907-3600
Mailing Address - Street 1:107 GLENDALE GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4142
Mailing Address - Country:US
Mailing Address - Phone:205-907-3600
Mailing Address - Fax:615-988-0017
Practice Address - Street 1:2200 21ST AVE S STE 252
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4965
Practice Address - Country:US
Practice Address - Phone:205-907-3600
Practice Address - Fax:615-988-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty