Provider Demographics
NPI:1659558377
Name:NUTRITION FOR LIVING
Entity Type:Organization
Organization Name:NUTRITION FOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:O
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RD, MS, FADA
Authorized Official - Phone:610-347-2045
Mailing Address - Street 1:705 DENBIGH CHASE
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1532
Mailing Address - Country:US
Mailing Address - Phone:610-347-2045
Mailing Address - Fax:610-347-0693
Practice Address - Street 1:705 DENBIGH CHASE
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1532
Practice Address - Country:US
Practice Address - Phone:610-347-2045
Practice Address - Fax:610-347-0693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002315133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty