Provider Demographics
NPI:1578324620
Name:AP NUTRITION PLLC
Entity Type:Organization
Organization Name:AP NUTRITION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:360-589-1136
Mailing Address - Street 1:2312 MUIRHEAD AVE NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4155
Mailing Address - Country:US
Mailing Address - Phone:360-589-1136
Mailing Address - Fax:
Practice Address - Street 1:2312 MUIRHEAD AVE NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4155
Practice Address - Country:US
Practice Address - Phone:360-589-1136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty