Provider Demographics
NPI:1518564061
Name:NUTRITIOUS TRANSITIONS LLC
Entity Type:Organization
Organization Name:NUTRITIOUS TRANSITIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TERWILLIGER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:603-748-8498
Mailing Address - Street 1:5 GOULD RD
Mailing Address - Street 2:
Mailing Address - City:WARNER
Mailing Address - State:NH
Mailing Address - Zip Code:03278-4306
Mailing Address - Country:US
Mailing Address - Phone:603-748-8498
Mailing Address - Fax:
Practice Address - Street 1:5 GOULD RD
Practice Address - Street 2:
Practice Address - City:WARNER
Practice Address - State:NH
Practice Address - Zip Code:03278-4306
Practice Address - Country:US
Practice Address - Phone:603-748-8498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty