| Organization Name: | ELLAD NUTRITION CONSULTING, LLC |
| NPI Number: | 1700123064 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TYRA L TANNER (OWNER) |
| Mailing Address: | 6427 Chesterfield Meadows Dr Chesterfield |
| State: | VA US |
| Postal Code: | 238328810 |
| Phone Number: | 8046164378 |
| Fax Number: | 8046164378 |
| NPI Enumeration Date: | 01/07/2013 |
| NPI Last Update Date: | 01/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2010029866 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| 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 |