Provider Demographics
NPI:1619531167
Name:NUTRITION WORKS NH LLC
Entity Type:Organization
Organization Name:NUTRITION WORKS NH LLC
Other - Org Name:NUTRITION WORKS
Other - Org Type:Other Name
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:GRIFFITH
Authorized Official - Last Name:PETERSSON
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:603-223-8119
Mailing Address - Street 1:18 N MAIN ST STE 304
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4926
Mailing Address - Country:US
Mailing Address - Phone:603-223-8119
Mailing Address - Fax:
Practice Address - Street 1:18 N MAIN ST STE 304
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4926
Practice Address - Country:US
Practice Address - Phone:603-223-8119
Practice Address - Fax:603-223-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty