Provider Demographics
NPI:1598435729
Name:RENAL WELLNESS AND NUTRITION LLC
Entity Type:Organization
Organization Name:RENAL WELLNESS AND NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:985-710-9750
Mailing Address - Street 1:1900 ABBERLY CIR APT 1005
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-3235
Mailing Address - Country:US
Mailing Address - Phone:989-710-9750
Mailing Address - Fax:
Practice Address - Street 1:1900 ABBERLY CIR APT 1005
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3235
Practice Address - Country:US
Practice Address - Phone:989-710-9750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-19
Last Update Date:2021-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Single Specialty