Dietitian Approved Nutrition, LLC
Dietitian, Registered in Indianapolis, IN. Organization (NPI-2).
NPI number1962072124
StatusActive
Last updated in NPPESJun 30, 2021
Details
- NPI
- 1962072124
- Entity type
- Organization (NPI-2)
- Legal business name
- Dietitian Approved Nutrition, LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2021
- Certification date
- Jun 30, 2021
- Last updated
- Jun 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
11641 Sandwood CtIndianapolis, IN 46235-6038
Phone 317-835-9871 · Fax 317-836-2493
Mailing address
11641 Sandwood CtIndianapolis, IN 46235-6038
Phone 317-835-9871 · Fax 317-836-2493
Authorized official
Jessica L. McAllister
Owner
3178359871
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