Provider Demographics
NPI:1972918126
Name:PREMIER NUTRITION CONSULTING, LLC
Entity Type:Organization
Organization Name:PREMIER NUTRITION CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:N
Authorized Official - Last Name:LIMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD, CDCES
Authorized Official - Phone:512-436-5047
Mailing Address - Street 1:1614 PAPER MOON DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-1404
Mailing Address - Country:US
Mailing Address - Phone:512-436-5047
Mailing Address - Fax:
Practice Address - Street 1:2907 BATES ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-2646
Practice Address - Country:US
Practice Address - Phone:806-577-6052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80762133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty