Provider Demographics
NPI:1831551704
Name:NUTRITIONAL GRACES LLC
Entity type:Organization
Organization Name:NUTRITIONAL GRACES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT/AUTHOR/NATIONAL SPEAKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:PATIN
Authorized Official - Last Name:FALINI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RDN, LDN
Authorized Official - Phone:610-696-8655
Mailing Address - Street 1:437 SHARPLESS ST.
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382
Mailing Address - Country:US
Mailing Address - Phone:610-696-8655
Mailing Address - Fax:610-696-7074
Practice Address - Street 1:437 SHARPLESS ST.
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382
Practice Address - Country:US
Practice Address - Phone:610-696-8655
Practice Address - Fax:610-696-7074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000675133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty