Provider Demographics
NPI:1538326715
Name:NUTRITION SPECIALISTS
Entity Type:Organization
Organization Name:NUTRITION SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN CAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-603-1941
Mailing Address - Street 1:5601 NW 72ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-5920
Mailing Address - Country:US
Mailing Address - Phone:405-603-1941
Mailing Address - Fax:405-603-1942
Practice Address - Street 1:5601 NW 72ND ST
Practice Address - Street 2:STE 232
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73132
Practice Address - Country:US
Practice Address - Phone:405-603-1941
Practice Address - Fax:405-603-1942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty