Provider Demographics
NPI:1568193225
Name:NAQUIN NUTRITION, LLC
Entity Type:Organization
Organization Name:NAQUIN NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & PRINCIPAL DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:613-929-2974
Mailing Address - Street 1:44392 COUNTY ROUTE 191 UNIT 705
Mailing Address - Street 2:
Mailing Address - City:FINEVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:13640-8935
Mailing Address - Country:US
Mailing Address - Phone:401-757-0862
Mailing Address - Fax:
Practice Address - Street 1:4 COURT ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:401-757-0862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty