| Organization Name: | INNOVATIVE NUTRITION SOLUTIONS, LLC |
| NPI Number: | 1003824079 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARYN EVELYN MOEHRING (CLINICAL NUTRITION THERAPIST) |
| Mailing Address: | 414 Donofrio Dr Suite 120 Madison |
| State: | WI US |
| Postal Code: | 537192847 |
| Phone Number: | 6088363473 |
| Fax Number: | 6088315319 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1680-029 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | WI |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |