901 Nutrition, LLC
Dietitian, Registered in Memphis, TN. Organization (NPI-2).
NPI number1396448502
StatusActive
Last updated in NPPESJan 6, 2024
Details
- NPI
- 1396448502
- Entity type
- Organization (NPI-2)
- Legal business name
- 901 Nutrition, LLC
- Organization subpart
- No
- Enumeration date
- Mar 24, 2023
- Certification date
- Jan 6, 2024
- Last updated
- Jan 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – |
Practice location
4860 Barfield RdMemphis, TN 38117-2602
Phone 901-800-9526 · Fax 901-633-1811
Mailing address
4860 Barfield RdMemphis, TN 38117-2602
Phone 901-800-9526 · Fax 901-633-1811
Authorized official
Erin Dragutsky
Owner
9014619288
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