Organization Name: | ADVANTAGE NUTRITION & WELLNESS, LLC |
NPI Number: | 1710168638 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER MARIE DOANE (PRESIDENT) |
Mailing Address: | 2005 City Line Rd Suite 104 Bethlehem |
State: | PA US |
Postal Code: | 180177701 |
Phone Number: | 6104431885 |
Fax Number: | 6104431685 |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN003573 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |