Provider Demographics
NPI:1750079968
Name:MARIT PYWELL NUTRITION LLC
Entity type:Organization
Organization Name:MARIT PYWELL NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITION THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIT
Authorized Official - Middle Name:
Authorized Official - Last Name:PYWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, CDCES
Authorized Official - Phone:781-254-7336
Mailing Address - Street 1:46 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3947
Mailing Address - Country:US
Mailing Address - Phone:781-254-7336
Mailing Address - Fax:
Practice Address - Street 1:46 WALNUT ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3947
Practice Address - Country:US
Practice Address - Phone:781-254-7336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty