Provider Demographics
NPI:1245050327
Name:NEXT STEPS NUTRITION LLC
Entity type:Organization
Organization Name:NEXT STEPS NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:K
Authorized Official - Last Name:PEDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD, CDCES
Authorized Official - Phone:612-322-2974
Mailing Address - Street 1:2395 HUNTER DR
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-8428
Mailing Address - Country:US
Mailing Address - Phone:612-322-2974
Mailing Address - Fax:
Practice Address - Street 1:2395 HUNTER DR
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-8428
Practice Address - Country:US
Practice Address - Phone:612-322-2974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty