Provider Demographics
NPI:1740043694
Name:307 NUTRITION CONSULTING LLC
Entity type:Organization
Organization Name:307 NUTRITION CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:307-267-4545
Mailing Address - Street 1:2143 WATERFORD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-3300
Mailing Address - Country:US
Mailing Address - Phone:307-247-3526
Mailing Address - Fax:
Practice Address - Street 1:232 E 2ND ST STE 301B
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2539
Practice Address - Country:US
Practice Address - Phone:307-267-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty