Provider Demographics
NPI:1568556843
Name:NUTRITION FOR WELLNESS INC
Entity Type:Organization
Organization Name:NUTRITION FOR WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RAULERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RD/LD CDE
Authorized Official - Phone:352-615-1263
Mailing Address - Street 1:PO BOX 3865
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-3865
Mailing Address - Country:US
Mailing Address - Phone:352-615-1263
Mailing Address - Fax:
Practice Address - Street 1:6075 SW 73RD STREET RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-6464
Practice Address - Country:US
Practice Address - Phone:352-615-1263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 417133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty