Provider Demographics
NPI:1861823924
Name:ELA NESBIT GET HEALTHY NUTRITION LLC
Entity Type:Organization
Organization Name:ELA NESBIT GET HEALTHY NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELZBIETA
Authorized Official - Middle Name:JOANNA
Authorized Official - Last Name:NESBIT
Authorized Official - Suffix:
Authorized Official - Credentials:MS RD LD CDE
Authorized Official - Phone:603-659-0190
Mailing Address - Street 1:97 SCHANDA DR
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-2153
Mailing Address - Country:US
Mailing Address - Phone:603-659-0190
Mailing Address - Fax:
Practice Address - Street 1:1 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-2904
Practice Address - Country:US
Practice Address - Phone:603-659-0190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty