Provider Demographics
NPI:1700645009
Name:NUTRITION'S MY LIFE LLC
Entity Type:Organization
Organization Name:NUTRITION'S MY LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:EICHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:806-239-4426
Mailing Address - Street 1:8822 N FORK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250
Mailing Address - Country:US
Mailing Address - Phone:806-239-4426
Mailing Address - Fax:
Practice Address - Street 1:8822 N FORK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-5240
Practice Address - Country:US
Practice Address - Phone:806-239-4426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty