Provider Demographics
NPI:1861012809
Name:ERIN HURST NUTRITION AND WELLNESS
Entity Type:Organization
Organization Name:ERIN HURST NUTRITION AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LD
Authorized Official - Phone:574-440-8700
Mailing Address - Street 1:59741 TYHOLLAND LN
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46544-9715
Mailing Address - Country:US
Mailing Address - Phone:574-440-8700
Mailing Address - Fax:574-440-8701
Practice Address - Street 1:6910 N MAIN ST UNIT 24A
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-8845
Practice Address - Country:US
Practice Address - Phone:574-440-8700
Practice Address - Fax:574-440-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty