Provider Demographics
NPI:1790368223
Name:LIVE IT NUTRITION
Entity Type:Organization
Organization Name:LIVE IT NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREINS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:775-203-8943
Mailing Address - Street 1:748 SOUTH MEADOWS PARKWAY
Mailing Address - Street 2:SUITE A-9 #198
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4841
Mailing Address - Country:US
Mailing Address - Phone:775-203-8943
Mailing Address - Fax:
Practice Address - Street 1:748 SOUTH MEADOWS PARKWAY SUITE A-9 #198
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty