Provider Demographics
NPI:1598107328
Name:EVERYDAY NUTRITION, LLC
Entity Type:Organization
Organization Name:EVERYDAY NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:APA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:973-696-7526
Mailing Address - Street 1:42 MARLTON DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5331
Mailing Address - Country:US
Mailing Address - Phone:973-696-7526
Mailing Address - Fax:973-633-5401
Practice Address - Street 1:42 MARLTON DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5331
Practice Address - Country:US
Practice Address - Phone:973-696-7526
Practice Address - Fax:973-633-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty