Provider Demographics
NPI: | 1023881398 |
---|---|
Name: | NUTRITION HARMONY LLC |
Entity type: | Organization |
Organization Name: | NUTRITION HARMONY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER / REGISTERED DIETITIAN |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | ALEXANDRA |
Authorized Official - Middle Name: | CECILIA |
Authorized Official - Last Name: | SANCHEZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MS, RD, LDN |
Authorized Official - Phone: | 781-469-1088 |
Mailing Address - Street 1: | 450B PARADISE RD # 233 |
Mailing Address - Street 2: | |
Mailing Address - City: | SWAMPSCOTT |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 01907-1300 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 781-469-1088 |
Mailing Address - Fax: | 781-404-8408 |
Practice Address - Street 1: | 450B PARADISE RD # 233 |
Practice Address - Street 2: | |
Practice Address - City: | SWAMPSCOTT |
Practice Address - State: | MA |
Practice Address - Zip Code: | 01907-1300 |
Practice Address - Country: | US |
Practice Address - Phone: | 781-469-1088 |
Practice Address - Fax: | 781-404-8408 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-10-30 |
Last Update Date: | 2023-10-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Single Specialty |