Provider Demographics
NPI:1134904543
Name:TRUE NUTRITION LLC
Entity type:Organization
Organization Name:TRUE NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOHLBRUCK
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:917-579-0591
Mailing Address - Street 1:43 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-3232
Mailing Address - Country:US
Mailing Address - Phone:917-579-0591
Mailing Address - Fax:973-924-1097
Practice Address - Street 1:308 BROAD ST
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3507
Practice Address - Country:US
Practice Address - Phone:917-579-0591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty