Provider Demographics
NPI:1689092694
Name:NURTURING NUTRITION II, LLC
Entity Type:Organization
Organization Name:NURTURING NUTRITION II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'DONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:401-441-6405
Mailing Address - Street 1:2893 POST RD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3117
Mailing Address - Country:US
Mailing Address - Phone:401-441-6405
Mailing Address - Fax:401-537-9150
Practice Address - Street 1:2893 POST RD
Practice Address - Street 2:UNIT 1
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3117
Practice Address - Country:US
Practice Address - Phone:401-441-6405
Practice Address - Fax:401-537-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty