Provider Demographics
NPI:1619441235
Name:WHAT NOURISHES YOU LLC
Entity Type:Organization
Organization Name:WHAT NOURISHES YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNIPE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD
Authorized Official - Phone:603-930-6102
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03455-0486
Mailing Address - Country:US
Mailing Address - Phone:603-930-6102
Mailing Address - Fax:
Practice Address - Street 1:25 ROXBURY ST STE 111
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3286
Practice Address - Country:US
Practice Address - Phone:603-738-5791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4070OtherCOMMONWEALTH OF MASSACHUSETTS
NH460OtherSTATE OF NEW HAMPSHIRE