Provider Demographics
NPI:1710584743
Name:THE NUTRITION SISTERS LLC
Entity Type:Organization
Organization Name:THE NUTRITION SISTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:NATHALIA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:DEFIGUEIREDO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:646-389-9196
Mailing Address - Street 1:113 RUTHERFORD PL
Mailing Address - Street 2:
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6303
Mailing Address - Country:US
Mailing Address - Phone:646-389-9196
Mailing Address - Fax:
Practice Address - Street 1:576 VALLEY BROOK AVE STE M1
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1919
Practice Address - Country:US
Practice Address - Phone:646-389-9196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports DieteticsGroup - Multi-Specialty