Provider Demographics
NPI:1629308465
Name:NUTRITION FOR WELLNESS INC.
Entity Type:Organization
Organization Name:NUTRITION FOR WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTING DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:989-839-0760
Mailing Address - Street 1:2121 E STEWART RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-8926
Mailing Address - Country:US
Mailing Address - Phone:989-839-0760
Mailing Address - Fax:989-486-1459
Practice Address - Street 1:2121 E STEWART RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-8926
Practice Address - Country:US
Practice Address - Phone:989-839-0760
Practice Address - Fax:989-486-1459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty