Provider Demographics
NPI:1184323701
Name:NUTRITION VIRTUOSO LLC
Entity type:Organization
Organization Name:NUTRITION VIRTUOSO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:210-201-6551
Mailing Address - Street 1:18911 HARDY OAK BLVD STE 259
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4967
Mailing Address - Country:US
Mailing Address - Phone:210-201-6551
Mailing Address - Fax:877-850-5662
Practice Address - Street 1:18911 HARDY OAK BLVD STE 259
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4967
Practice Address - Country:US
Practice Address - Phone:210-201-6551
Practice Address - Fax:877-850-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty